ADVERSE ACTION NOTICE (REVOKING JOB OFFER)
Required pursuant to section 15 USC section 1681m(section 615)
Dear____________:
As part of our employment selection process, we require that a consumer report be obtained for
any applicant being considered for the position for which you applied. You previously should
have received a copy of your consumer report and a summary of your rights under the Fair
Credit Reporting Act, that we sent to you along with a letter dated (
).
This is to advise you that we our revoking your conditional offer of employment. To assist us
with the hiring process, the consumer reporting agency listed below provided us with a copy of
your consumer report which, in whole or in part, influenced our employment decision. This
consumer reporting agency played no part in our decision to revoke the conditional offer of
employment, other than providing us with a copy of your consumer report. Additionally, the
agency will not be able to provide you with specific reasons for our decision to deny
employment.
Under the Fair Credit Reporting Act, you are entitled to disclosure of the information contained
in your consumer report by contacting the consumer reporting agency directly, within sixty (60)
days of your receipt of this letter. You also have the right to dispute the completeness or
accuracy of the report. The name, address and telephone number of the consumer reporting
agency appears below:
Consumer Reporting Agency
Name
Address
(Toll free 1-800 number)
(fax)
Thank you for considering employment with "Company X" we wish you the best of luck in your
future endeavors.
Sincerely,
HR Manager
"Company X"