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How to write your own Consent for Voluntary Polygraph Testing Form

You can create your own customized editable version of this contract document using Human Resources Contract Pack. Follow these steps to get started.


The Consent for Voluntary Polygraph Testing Form is used to have a potential employee give permission for a lie detector test as a condition of employment.
Document Length: 1 Page
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1. Get Human Resources Contract Pack that includes this business contract document.

This Consent for Voluntary Polygraph Testing Form is included in editable Word format that can be customized in Word or by using the included Wizard software.

2. Download and install after ordering.

Once you have ordered and downloaded your Human Resources Contract Pack you will have all the content you need to get started with your own formal declaration.

3. Customize the contract template with your own information.

You can customize the contract document as much as you need. You can also use the included Wizard software to automate merging in name/address data.

Consent for Voluntary Polygraph Testing Form

How do you write a Consent for Voluntary Polygraph Testing Form document?


Current Date

Date of Polygraph Examination: Exam Date. Polygraph Administered By signator, authorized signature or signer. You must be at least 18 years of age to agree to this consent form. If you are not at least 18 years of age, you must additionally get a parent or guardian to sign this form in the space provided below.

I understand the reason for this polygraph test and do hereby freely give my consent to have this test taken. I also understand that the results of this test shall be made available to Company Name and become part of my permanent record with Company Name. I further attest that I have not been coerced or pressured into taking this test or signing this form. I understand that I have the right not to undertake this examination as a condition of employment or continued employment with Company Name.

I hereby authorize any Company-approved vendor or agent to conduct such testing and to provide the results to Company Name. I understand that by signing this consent form, I hereby release Company Name and any person affiliated with Company Name from any liability arising out of the testing procedure, the results of such testing, or any other liability or damages, whether direct or indirect, from undergoing this Polygraph Testing. I hereby authorize these test results to be released to Company Name.

Print Name:

Date when the contact was signed

Parent or Guardian Signature:

Human Resources Department

The complete Consent for Voluntary Polygraph Testing Form - with the actual formatting and layout - is available in this Contract Pack.
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Related documents may be used in conjunction with this document depending on your situation. Many related documents are intended for use as part of a contract management system.

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