HomeMy WebLinkAboutOPENonline, LLC - Agreement for Employment Consumer Credit Reportscity°f
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City Manager • (509) 545-3404 • FAX (509) 545-3403
P.O. Box 293 • 525 North 3rd Ave. • Pasco, WA 99301 www.pasco-wa.gov
April 18, 2022
Karen Contras
Compliance Officer
OPENonline LLC
PO Box 549
Columbus, OH 43216-0549
Dear Karen,
The City of Pasco is requesting access to employment credit screenings. Our company's industry
is municipal. The volume of requested reports is approximately 2 a year. The permissible purpose
for requesting these reports is employment screening. Anticipated access is national.
Sincerely,
Da a ell
City Manager
City of Pasco
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TRANS UNION® Permissible Purpose Products
Application Requirements/Instructions
Trans Union restricts automated access of their Permissible Purpose Products to certain types of
businesses. Access may be restricted even if the reason(s) falls within generally acceptable
standards. Businesses are permitted access to Trans Union products for their internal use only.
Forms are available from our resources page on OPENonline.com For questions or problems
with the documents please contact compliance(kopenonline.com (888) 381-5656 x 108
Fax completed forms to compliance at (614) 481-6980.
Required forms and Agreements
❑ Application signed and dated by an officer of the company
❑ Separate letter of intent- signed and dated by an officer of the company
❑ Service agreement signed and dated by an officer of the company
❑ Site Inspection — ordered and invoiced by OPENonline. Cost $75.00
Trans Union will not grant access to a business operating out of a private residence. A
permanent sign that matches the name exactly is required.
❑ Authorization for release of Bank/vendor Information
Sole Proprietors/Partnerships
The following is also required for those businesses that are sole proprietor or partnerships:
❑ Credit release form signed and date by either owner(s)
Businesses open less than 1(one) Year
Two of the following items are also required for those businesses opened for 1 year or less:
❑ Copy of utility or phone bull in the business name for service at the principle place of
business
F1 Copy of lease, or proof of property by business, of the principle place of business,
❑ Copy of business bank statement addressed to the applicant at its principle place of
business.
OPEN�
online::
Name of Business
DBA:
Owner/Officer Name
Federal Tax ID #
Business Address
City, State, Zip
Telephone #
Type of Business
Bank Reference
Vendor Reference
City of Pasco
91.6001264
525 N. 3rd Ave
Pasco, WA 99301
509 ) 545-3408
Municipality
OPENonline Application forTransUnion®
Permissible Purpose Products
Billing ID
Website
Title
Fax #
Date Established 09/03/1891
Received:
By:
FOR OPEN USE ONLY
David Olsen Phone # ( 206 ) 344-4720 Account # 15350145XXX
Phone #
Type of Ownership: ❑ Sole proprietor ❑ Partnership ❑ Corporation ❑ LLP ❑ LLC
Account #
* Please Note: Your business telephone number must be listed with Directory Assistance (411) in order for your
application to be processed.
I hereby certify that use of the information provided will be in accordance with permissible purpose(s) allowed by the Fair
Credit Reporting Act as designated herein below and that such information will be used for no other purpose than allowed
by law. Please check all that apply:
❑ In connection with a credit transaction involving the consumer on whom the information is to be furnished and
involving the extension of credit to, or review or collection of an account of the consumer, or
® For employment purposes; ❑ For your company, ❑ for a client
Reports on employees will be requested only by the Subscriber's designated representatives. Employees are forbidden
to attempt to obtain reports on themselves, associates, or any other person except in the exercise of their official duties.
(The Fair Credit Reporting Act provides that any person who knowingly and willfully obtains information on
a consumer from a consumer reporting agency under false pretenses shall be fined not more than $5,000 or
imprisoned not more than one year, or both.)
OPENonline and TRANS UNION reserve the right to limit access to Credit and Pre -Employment Reports at their
discretion.
Company agrees to pay the $75.00 site visit fee whether or not they are approved for access to Trans Union Products.
Fax Completed form to (614) 481-6980
Eastern Operations (800) 935-6736 1 Western Operations (800) 454-6575 1 www.openonline.com
®M BUSINESS!
x Is the company tax exempt? ( If yes please provide exemption certificate)
x Is the company engaged in underwriting of insurance
x Is the company licensed or providing service as an attorney, detective/investigative agency
x Does the company intend to resell or release all or any of the consumer report to a third party
Please check all that apply:
= BUSINESS INFORMATION
x A publicly help company under the regulatory authority of the US Securities and Exchange Commission
x Subject to the regulatory authority of any agency list in Section 621(b) of the FCRA, 15 U.S.C. 1681s(b)
x A licensed insurance company
x Approved by the IRS as a tax exempt organization pursuant to Section 501(c) (3)
x Certified by the Small Business Administration for participation in an SBA administered program
Certified by the Dept of Transportation for participation in the Dept of Transportation's Disadvantaged
x Business Enterprise Program?
Please indicate if your business is categorized as:
®= I BUSINESS
x Adult entertainment service of any kind
Attorney or Law Firm engaged in the practice of law, unless engaged in collection or using the report in
x connection with a consumer bankruptcy pursuant to the written request of the consumer
x Bail Bondsman, unless licensed by the state in which they are operating in
x Credit Counseling, except not for profit credit counselors
x Credit repair clinic
x Dating service
x Financial counseling, except a registered securities broker dealer
x Genealogical or heir research firm
x Massage service
x Company that locates missing children
x Pawn shop
x Private detective, detective agency or investigative company
x Company that handles third party repossession
x Subscription (magazines, Book clubs, record clubs)
x Tattoo Service
x Company seeking information in connection with time shares (exception: financers of time shares)
Fax Completed form to (614) 481-6980
Eastern Operations (800) 935-6736 1 Western Operations (800) 454-6575 1 www.openonline.com
Please indicate if your business is categorized as (cont):
®m BUSINESS INFORMATION
X Law Enforcement Agency
x Asset location services
X New agency or journalist
x Other reseller
Please list the users that you are authorizing and check which the products:
Products checked must match permissible purpose and letter of intent.
EMAIL INFORMATION
meykae 509-543-5786 meyerk@pasco-wa.gov X
segdaa
509-543-5785
segurad@pasco-wa.gov X
todad
509-543-5788
tuckerd@pasco-wa.gov X
zunaaa
509-545-3408
zunigaa@pasco-wa.gov X
Dated
Fax Completed form to (614) 481-6980
Eastern Operations (800) 935-6736 1 Western Operations (800) 454-6575 1 www.openonline.com
OPEN
online
TransUnion@ Agreement for
Employment Consumer Credit Reports
The undersigned User and ("OPENonline, LLC") hereby make the following agreement:
1. OPENonline, LLC has access to consumer reports from one or more consumer credit
reporting agencies pertaining to consumers' credit experiences and histories throughout the
United States.
2. User is a municipality (type of industry) and has a need for consumer credit
information in connection with the evaluation of individuals for employment, promotion,
reassignment or retention as an employee ("Consumer Report for Employment Purposes").
3. User shall request Consumer Report for Employment Purposes pursuant to procedures
prescribed by OPENonline, LLC from time to time only when it is considering the individual
inquired upon for employment, promotion, reassignment or retention as an employee, and for no
other purpose. End User shall comply with any federal and state laws which may restrict or ban
the use of Consumer Report for Employment Purposes.
4. User certifies that it will not request a Consumer Report for Employment Purposes unless:
a. A clear and conspicuous disclosure is first made in writing to the consumer
before the report is obtained, in a document that consists solely of the
disclosure, that a consumer report may be obtained for employment purposes;
b. The consumer has authorized in writing the procurement of the report; and
c. Information from the Consumer Report for Employment Purposes will not be
used in violation of any applicable federal or state equal employment
opportunity law or regulation.
5. User further certifies that before taking adverse action in whole or in part based on the
Consumer Report for Employment Purposes, it will provide the consumer with:
a. A Copy of the Consumer Report for Employment Purposes; and
b. A copy of the CFBP/FTC consumer's rights, in their approved format.
c. Include OPENonline's contact information for disputes:
Email:compliance@openonline.com
Mail: OPENonline LLC
Attn: Compliance
PO Box 549
Columbus, OH 43216-0549
Phone: 888.381.5656
Fax:614.481.6980
d. Instructions for additional copy of their credit report within 60 days contact TransUnion:
Fax, email or mail completed forms to OPENonline at:
(614) 481.6980 1 compliance@openonline.com
Attn: Compliance Dept., 1650 Lake Shore Drive, Suite 350, Columbus, OH 43204 rev 04/2015
Consumer may request an additional copy of credit report:
website:www.annualcreditreport.com
Phone: Call 1-877-322-8228
Annual Credit Report Request Service
P.O. Box105281
Atlanta, GA 30348-5281
6. User agrees that it shall use Consumer Report for Employment Purposes only for a one-time
use, and to hold the report in strict confidence, and not to disclose it to any third parties not
involved in the current employment decision.
7. End User will maintain copies of all written authorizations for a minimum of seven (7) years
from the date of inquiry.
8. User shall pay for each Consumer Report for Employment Purposes at the then current
published price.
9. OPENonline, LLC shall use good faith in attempting to obtain information from sources
deemed reliable, but does not guarantee the accuracy of information reported, and in no event
shall OPENonline, LLC be liable in any manner whatsoever for any loss or injury to User
resulting from the obtaining or furnishing of such information; and further User agrees to hold
OPENonline, LLC harmless and indemnify it from any and all claims, losses and damages
arising out of alleged liability or failure of the User to keep and perform any of its obligations
described herein.
10. It is further agreed, however, that with just cause, such as delinquency or violation of the
terms of the contract or a legal requirement, OPENonline, LLC may, upon its election,
discontinue serving the User and cancel this agreement.
11. The parties hereto agree that this instrument is the full and complete Agreement between
them regarding the furnishing of Consumer Report for Employment Purposes, and is not to be
altered, varied, or enlarged upon by any verbal promises, statements or representations not
expressed herein. This Agreement shall not be binding on either party until accepted by
Reseller.
For Customer Use
Company City of Pasco
Address 525 N. 3rd Ave. Pasco, WA 99301
Accepted B
Authorized Signature
Date
Print Name Dave Zabell
Title City Manager
OPENonline, LLC
By Date
Print Name Title
Fax, email or mail completed forms to OPENonline at:
(614) 481.6980 1 compliance@openonline.com
Attn: Compliance Dept., 1650 Lake Shore Drive, Suite 350, Columbus, OH 43204 rev 05/2015
PO Box 549
Columbus, Ohio 43204-0549
OPE:� 7
Ph: 614.481.6999
online Fax: 614.481.6980
www.openonline.com
Company Authorization to Release Bank Reference to
OPENonline, LLC
City of Pasco authorizes US Bank
Print OPENonline Company Name Print Bank Name
to release information to OPENonline, LLC. Information will be used solely for reference
information in establishing an account with OPENonline, LLC.
Dave Zabell
Print Authorized Name
Aut orized Sign
City Manager
Print Title
Date
Please complete form including authorized hand signed signature as required by bank and return
to Compliance Department, OPENonline, LLC. via fax (614)481-6980 or scan
compliance@openonline.com .
Enclosed is the application packet to run credit checks using our current background screening vendor.
You will find:
• Letter of Intent (used OpenOnline's template)
• Application
• Employment Consumer Credit Report Agreement
• Authorization to Contact Bank Reference (reference provided by Finance)
There are two new finance employees that need to have their credit checks ran.