150.01.01.003 2
Appendix A Background Investigation Questionnaire (BIQ)
Last Updated 06/14/2018
IDAHO DEPARTMENT OF CORRECTION
AUTHORIZATION TO RELEASE INFORMATION
As an applicant for employment with the Idaho Department of Correction (IDOC), I understand that
I am providing personal and employment history information to determine my qualifications and
suitability for employment with the Department, or for enrolling in the POST Academy, if requested.
I understand that I am voluntarily providing personal information such as my name, race, height,
weight, gender, date of birth, place of birth, driver’s license number, and social security number to
assist in conducting a criminal background check. By not providing the required information, I am
voluntarily suspending, terminating or forfeiting my opportunity for employment.
I hereby authorize any representative of the Idaho Department of Correction (IDOC) or POST
Council agent bearing this release, or copy of this release, within one-year of its date, to obtain any
or all records and information concerning myself regardless of whether the records and information
are of a confidential nature. The release of files/records and information may include, but are not
limited to, arrest records, training files, criminal files, employment records, personnel files,
disciplinary records and/or performance evaluations.
I understand that any information obtained in a personal and employment history background
investigation will be considered in determining my qualifications and suitability for employment with
IDOC. I also understand that any person, partnership, association, organization, or government
agency, including their employees who provide information concerning me, will not be liable for
providing accurate records or information.
Therefore, I release all persons and parties from all claims, damages and liabilities that may result
from providing the information requested by an authorized agent from IDOC.
Applicant/Employee:
Print full name:
Sign full name:
Social Security number: - -
Date of Birth: / /
Position applying for:
Current Residence Address
Telephone Number ( )
Date: / /
Witness – Print Full Name
Signature
(Witness must be an adult, over the age of 18 that is not that applicant)