Background Check Authorization Authority for Release of Information and Waiver I hereby authorize the Concho Valley Community Supervision and Corrections Department (CSCD) to investigate my background and discover any information concerning me, including information related to my reputation, education, and employment. I authorize Concho Valley CSCD to use means it determines necessary to conduct a thorough investigation including, but not limited to, a criminal history search, current and previous employment verification, personal reference contacts and/or an online information search - including a search of social networking sites (MySpace, Facebook, LinkedIn, etc.). I understand that this information will be used to assist the Concho Valley CSCD in determining my qualifications and fitness for the position for which I am applying. I hereby release the Concho Valley Community Supervision and Corrections Department from any liability or damage which may result from the investigation or discovery of the information requested above.Signature*Please sign using your mouse, stylus, or finger.Date* MM slash DD slash YYYY Name on Driver's License* First Last Applicant's Phone Number*Address on Driver's Licence* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is current name and/or address different than it appears on driver's license?* Yes No Name if Different* First Last Address if Different Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Driver's License State*Select oneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificDriver's License Number* SSN* Date of Birth* MM slash DD slash YYYY Previous Names NameThis field is for validation purposes and should be left unchanged. Hours of Operation Mon-Fri: 8:00am-5:00pm Closed on Weekends and Holidays **Officers may schedule or re-schedule appointments as necessary** Texas Department of Criminal Justice Probation & Parole Directory Texas CSCD Directory Contact Us Name* Email* Phone*Message*EmailThis field is for validation purposes and should be left unchanged. Menu LinksCJAD Tom Green county District Courts Texas CSCD Directory
