In filing this application, I hereby declare that my answers are true, and understand that misrepresentation or omission of
the facts called for herein will be sufficient cause for dismissal. I hereby agree to take a physical and other examinations
whenever required by the District Attorney’s Office, whether prior to or subsequent to employment. I hereby authorize the
investigation by the District Attorney’s Office of any and all statements contained in this application. I further agree to accept
and abide by all regulations, policies and practices of the office relating to its employees.

I authorize and consent to the release of information and records to the Office of the District Attorney of Allegheny County by any person or entity not a consumer-reporting agency to assist the District Attorney’s Office in completing a background investigation relative to my application for employment.

I understand that as a part of the District Attorney’s procedure for processing employment applications an investigation and a report may be made by a  consumer reporting agency in the process of which information may be obtained through interviews with third parties, such as family members, business associates, financial sources, friends, neighbors, or others with whom I have been acquainted. This inquiry may include information as to my character, general reputation, personal characteristics, and mode of living, whichever may be applicable. I understand that under the Federal Fair Credit Reporting Act, I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure by the District Attorney of the nature and scope of the investigation requested. If this application for employment is denied either wholly or partly because of information contained in a consumer report from a consumer reporting agency, I understand that the District Attorney’s Office shall so advise me and shall supply me with the name and address of the consumer reporting agency making the report.