A signable form in which a candidate lists professional references and authorizes the company to contact them and former employers, with a good-faith release and withdrawal rights.
This form records your authorization for Company name (the "Company") to contact the references you list below, and your former employers, as part of the hiring process for the position of Role applied for. Please read it in full, complete the fields, and sign at the end.
By signing this form, you authorize the Company and its designated representatives to contact the people listed below, and the former employers reflected in your application, to verify the information you have provided and to ask about your work history and professional performance. Reference conversations may take place by phone, video call, or email, or through a structured questionnaire, at the Company's choice. References are usually contacted late in the process, after interviews, and you will be told before outreach begins.
Topics raised with references and former employers are limited to matters relevant to the role, and typically include:
The Company does not ask references for information unrelated to the role or for personal details that have no bearing on a hiring decision.
List at least two professional references who can speak to your recent work — ideally people who managed you or worked closely with you within the last few years. Tell your references to expect contact; a warned reference responds faster and speaks better.
Reference one — name: Reference one name; relationship: Reference one relationship; email or phone: Reference one email or phone.
Reference two — name: Reference two name; relationship: Reference two relationship; email or phone: Reference two email or phone.
Reference three (optional) — name: Reference three name; relationship: Reference three relationship; email or phone: Reference three email or phone.
The Company will not contact your current employer without your explicit permission, so applying never puts your existing role at risk. Indicate here whether the Company may contact your current employer and, if so, from what point in the process: Current employer contact permission.
You release the references you list, the former employers who respond, and the Company and its representatives from claims arising out of good-faith statements made, requested, or received while checking references under this authorization. This release does not cover statements made in bad faith or known to be false when made.
This authorization applies only to the recruitment process for the role named above and expires when that process ends. You may withdraw it at any time before the checks are completed by writing to your Company contact; the withdrawal will be respected, though the Company may be unable to continue the process without completed references. Information gathered is kept confidential, shared internally only with the people involved in the hiring decision, and handled according to the Company's data practices.
By signing below, I confirm that the references listed are genuine and may be contacted as described; that the work history I have provided is accurate; and that I understand and accept the scope of this authorization, the release above, and my right to withdraw before the checks are complete.
Candidate full name: Candidate full name
Signature: ✍ Candidate signature Date: Signature date
Highlighted fields are filled in when you customize and send this document on Diiirect.
Not legal advice
This template is provided for general informational purposes only and is not legal advice. Laws differ by jurisdiction and change over time — have a qualified professional review any document before you rely on it.
A structured ramp plan managers adapt per role: learning goals for the first month, ownership goals for the second, delivery goals for the third, with owners and checkpoints.
An anti-harassment and anti-discrimination policy defining prohibited conduct, the complaint procedure, investigations, and retaliation protection, ending in a signed acknowledgment. Use it to document that every hire has read the policy.
A candidate-facing consent form for background screening that sets out what the check may cover, how data is handled, and the candidate's rights. Use it before ordering any screening.
Personal-device policy with a security baseline, device-management consent, data separation rules, and off-boarding data removal, closed by a signed acknowledgment. Use it before granting work access on a personal phone or laptop.
A complete code of conduct covering respect, integrity, conflicts of interest, company assets, and reporting channels, with a signature confirming agreement to uphold it. Use it during onboarding for every new team member.
A disclosure form employees complete to report outside activities, financial interests, and family relationships that could conflict with their duties. Use it at onboarding and for periodic refreshes.