Model Letter Asking for Written Explanation for Job Denial and Copy

[Sender’s name]
[Street Address]
[Sender’s City, State, Zip]
[Employer’s Name]
[Company Name]
[Street Address]
[City, State Zip Code]
To Whom It May Concern:
[insert name of company/firm/agency] denied me a job on [date] for the position of
[title of position], and I am requesting that within 30 days you provide me with a
written statement stating the reasons for such denial. I am entitled to this statement
under Article 23A of the New York State Correction Law because I have (a/some)
criminal conviction(s). Section 754 of the Correction Law states:
At the request of any person convicted of one or more
criminal offenses who has been denied a license or
employment, a public agency or private employer shall
provide, within thirty days of a request, a written
statement setting forth the reasons for such denial.
Failure to provide a written statement may result in a
complaint being filed with the NYS Division of Human
If you used a consumer reporting agency background report to make your
employment determination, the federal Fair Credit Reporting Act requires an
employer to give a prospective employee a copy of the report and a reasonable
amount of time to review the report before it denies employment. 15.U.S.C. §
1681b(b)(3). Therefore, if you used a consumer agency background report when
considering me for the job, please enclose a copy with the letter requested above.
Thank you for your prompt attention to this matter.
[Your Name]