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NOTICE REGARDING USE OF CONSUMER REPORTS IN THE APPLICATION PROCESS FOR EMPLOYMENT PURPOSES

In connection with your application for employment or for other employment purposes, Allstate or one of its subsidiaries or affiliates may seek to obtain a consumer report (for example, credit, criminal, educational and/or employment records), which may include an investigative consumer report. An investigative consumer report may contain information regarding your character, general reputation, personal characteristics, or mode of living as obtained from personal interviews with sources such as your neighbors, friends, or associates. If an investigative consumer report is requested, you have the right to request a complete and accurate disclosure of the nature and scope of the investigation requested and a written summary of your rights under the Fair Credit Reporting Act or applicable state statute. Upon written request to Allstate or one of its subsidiaries or affiliates, and within 5 business days of such request, you will be informed as to whether such a report was requested, and if so, the name and address of the reporting agency to whom the request was made. You may then request and promptly receive from all such consumer reporting agencies copies of any investigative consumer report procured by Allstate or one of its subsidiaries or affiliates as well as a written summary of your rights under the Fair Credit Reporting Act or applicable state statute. Your signature below authorizes Allstate or one of its subsidiaries or affiliates to obtain a consumer report, including an investigative consumer report, and acknowledges receipt of a copy of this stated notice.

AUTHORIZATION TO OBTAIN CONSUMER REPORT/CRIMINAL BACKGROUND CHECK I have been provided the information set forth above and authorize LexisNexis® Screening Solutions to obtain a consumer report (for example, credit, criminal, educational and/or employment records) for employment related purposes.

Print Name (required) ________________________________ Last four digits of your Social Security number # __________ Signature: ___ __________ ___ Date __________

You must fax to: LexisNexis® Screening Solutions within 24 hours Fax # 1-866-645-4606

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