To Whom It May Concern:
As an applicant for a position with the Gage County Sheriff's Office, I am required to furnish information for use in determining my moral, physical, and mental qualifications.
I respectfully request and authorize you to permit the background investigator(s) to review my personnel, credit, and medical records and to copy materials contained therein.
I hereby release you, you organization, or others from any liability or damage which may result from furnishing the requested information.
This authorization shall expire at the conclusion of this pre-employment background investigation.