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Consumer Credit Report Inquiry Release

In connection with any application for employment, I understand that a CONSUMER CREDIT REPORT may be obtained.

I understand that before any adverse action is taken, based on information contained in my Consumer Credit Report, I will be provided with a copy of the report and a summary of consumer’s rights.

I understand that according to the Fair Credit Reporting Act, I am entitled to know if employment is denied because of information obtained by Acme Oyster House® from a Consumer Reporting Agency.

I authorize without reservation, any party (including, but not limited to, employers, law enforcement agencies, state agencies, institutions and private information bureaus or repositories) contracted by Acme Oyster House® and/or Tracepoint, LLC to furnish any or all of the above-mentioned information. In addition, I hereby release Acme Oyster House® and Tracepoint, LLC from any and all liability for damages arising from the investigation and disclosure of the requested information. I further release and discharge all liability from all companies, agencies, of cials, employees and other persons, who, in good faith, provide to Acme Oyster House® and/or Tracepoint, LLC the above mentioned information as requested, in order to successfully complete a background investigation for my application of employment. I will allow a photocopy of this authorization to be as valid as the original.

AGREEMENT: By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

**Date of Birth is being requested only for the purpose of identification in obtaining accurate retrieval of records, and will not be used for discriminatory purposes.

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