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Sample WAIVER AND RELEASE
OF
ALL CLAIMS REGARDING REFERENCES
NPC can only provide a reference for you if you have read and signed
this Waiver and Release of all Claims Regarding References
("Waiver"). Please check the Yes or No box next to the
information that you ap release and place your initials next to
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Information
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Yes |
No |
Initials |
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Address
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Home Telephone Number
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Dates of Employment
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Confirmation of Position Title
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Confirmation of Salary/Wage
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Opinion regarding job performance* (regardless of whether the opinion is
positive or negative)
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Opinion regarding personal qualities that you bring to a job*
(regardless of whether the opinion is positive or negative)
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Reason for termination
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Eligibility for rehire
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*I understand that opinions regarding my job performance or personal
qualities that I bring to the job may result in positive, negative, or
mixed reviews. I desire to have the information release regardless
of the nature of such an opinion.
In consideration for releasing this information, I irrevocably and
unconditionally release and forever discharge NPC, and each of its
directors, officers, employees, and agents, including predecessors,
successors, and assigns from any and all actions, causes of action,
suits, debt, claims, complaints, liabilities, and demands of any nature,
in law or equity, that I ever had, now have, or hereafter may have, by
reason of any claims relating to the release of the information so
designated in this document, including but not limited to any claims
that I may have for defamation, slander, libel, and tortious
interference with contract or business.
I have read all the terms of this Waiver and sign it voluntarily, and
accept all obligations contained in this Waiver in exchange for the
mutual promises contained in this Waiver and the consideration above.
____________________________________
___________________
Signature
Date
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