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Security Investigation Consent and Release (Version Two)


I, (name of applicant or employee), do hereby voluntarily consent to any and all lawful internal security examination and investigations conducted by XYZ Employer which XYZ Employer deems, in its sole discretion, to be reasonably necessary to protect its confidential and proprietary information and trade secrets or to investigate and uncover illegal conduct at the workplace.

I, (name of applicant or employee), acknowledge that in the course of my employment, I may be given access to confidential information including trade secrets, pending patents and other valuable materials or funds.  I hereby consent to certain procedures that may be undertaken by XYZ Employer to protect said information, materials or funds including, but not limited to, lawful searches of my work area and my vehicle while on company property, and other lawful surveillance activities.

The results of any investigations may be communicated and disclosed to third parties. As a consequence of any adverse information obtained about me by said investigation, I understand that I may not be offered a job with XYZ Employer or may be disciplined leading up to or including immediate discharge if I am currently working at XYZ Employer.  Nonetheless, I hereby indemnify, release and forever discharge and hold XYZ Employer and its subsidiaries and affiliated companies, agents and employees harmless from any and all claims, demands, judgments and legal fees arising out of or in connection with such investigation, the results, or any lawful use of the results.

Signature of Applicant or Employee: _____________________________
Printed Name of Applicant or Employee: _____________________________
Social Security Number: _____________________________
Date: _____________________________
Name of Witness: _____________________________
Copyright 1998 Steven M. Sack

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