Pre-Adverse Action Letter Template

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Pre-Adverse Action Letter Template

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Pre-Adverse Action Letter Template (1)
From:
[Name of the Company]
[Company’s Address]
[Company’s Phone]
[Company’s Email]
Date:
[Current Date]
To:
[Name of the Applicant]
[Applicant’s Address]
[Applicant’s Phone]
Subject:
Pre-Adverse Action Notice
Dear [Name of the Applicant],
Introduction:
This letter is to inform you that we are considering taking adverse action regarding your application for employment with [Company Name]. This decision is based in whole or in part on information contained in a consumer report.
Reporting Agency:
The consumer report was obtained from the following reporting agency:
[Name of the Reporting Agency]
[Agency’s Address]
[Agency’s Phone]
Summary of Rights:
You have the right to dispute the accuracy or completeness of any information in the consumer report. You may obtain a free copy of your report and learn about your rights by contacting the reporting agency above or by visiting their website.
Details of Adverse Information:
The adverse information that we are considering includes the following:
[List specific details that may affect the employment decision].
Next Steps:
If you have any information you would like to present that may affect our decision, please contact us at [Company’s Phone] or [Company’s Email] before [Deadline Date].
Conclusion:
Thank you for your understanding in this process. We value your interest in joining [Company Name].
Sincerely,
[Signature of the Sender]
[Name of the Sender]
[Title of the Sender]
Pre-Adverse Action Letter Template (2)
From:
[Company Name]
[Company’s Address]
[Company’s Phone]
[Company’s Email]
Date:
[Current Date]
To:
[Applicant’s Name]
[Applicant’s Address]
[Applicant’s Phone]
Subject:
Notice of Potential Adverse Action
Dear [Applicant’s Name],
Purpose of this Letter:
We are writing to inform you that, based on the consumer report received regarding your application for employment with our company, we are considering taking an adverse action that may negatively impact your eligibility for employment.
Source of Information:
The report that influenced this decision was obtained from:
[Name of Reporting Agency]
[Reporting Agency’s Address]
[Agency’s Phone Number]
Your Rights:
You have the right to dispute the validity of the information in your report. To obtain a copy of your consumer report and to learn about your rights under the Fair Credit Reporting Act, please contact the reporting agency above.
Specific Issues:
The following items in the consumer report contributed to our decision:
[Details of specific issues that may influence employment eligibility].
Opportunity to Respond:
If you believe there are any inaccuracies or if you wish to provide additional information, please reach out to us at [Company’s Phone Number] or [Company’s Email] by [Response Deadline Date].
Thank You:
Thank you for your time and attention to this important matter. We appreciate your application and the interest you have shown in [Company Name].
Sincerely,
[Signature of the Sender]
[Name of the Sender]
[Job Title of the Sender]

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Format

Please complete the form below to create the Pre-Adverse Action Letter Template. All fields must be filled out to ensure compliance with legal requirements and to provide a clear notification. We provide examples to guide you through each step.

Pre-Adverse Action Letter Template

1. Employer Information


2. Applicant Information


3. Background Check Details

4. Reasons for Adverse Action

5. Consumer Rights Notification

6. Opportunity to Respond

7. Final Action Details

8. Signatures and Acknowledgment

9. Declaration and Signatures



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Pre-Adverse Action Letter Template

Printable | Editable Form

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Pre-Adverse Action Letter Template