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Free form template · Word

Reference Check Consent Form

A reference check consent form lets a candidate name professional referees and authorise the employer to contact them for feedback on their work, skills and conduct. It sets clear limits on when and whom HR may call, protecting the candidate's current job.

  • Editable Word (.docx)
  • Made for India
  • 14 fill-in fields highlighted
  • Free, no sign-up

Preview of the form

[Highlighted] = fill in
[Company Logo][Company Name]

REFERENCE CHECK CONSENT FORM

Candidate Name:
[Candidate Name]
Position:
[Designation]
Date:
[Date]

1. Professional Referees

Referee NameDesignation and CompanyRelationship (Manager / Peer / Client)Worked Together (From – To)Phone / Official EmailMay Contact From
[Name][Designation, Company][Relationship][MM/YYYY – MM/YYYY][Contact][Now / After Date]
[Name][Designation, Company][Relationship][MM/YYYY – MM/YYYY][Contact][Now / After Date]
[Name][Designation, Company][Relationship][MM/YYYY – MM/YYYY][Contact][Now / After Date]

2. Topics That May Be Discussed

  • Role, responsibilities and period of association
  • Quality of work and key strengths
  • Teamwork, reliability and conduct
  • Areas for development
  • Eligibility for rehire (former employers)

3. Confidentiality

Feedback from referees will be used only for this hiring decision, shared only with the hiring team and kept confidential. If feedback raises a concern, [Company Name] will discuss it with me before taking a final decision.

Consent and Declaration

I authorise [Company Name] to contact the referees listed above within the timing I have indicated. I confirm that the referees are genuine professional contacts, are not relatives, and are aware that they may be contacted.

Signature of Candidate
[Candidate Name]
Date: [Date]

HR Call Log

RefereeDate ContactedModeSummary Recorded (Yes / No)Checked by
[Name][DD/MM/YYYY][Call / Email][Yes / No][HR Name]
[Name][DD/MM/YYYY][Call / Email][Yes / No][HR Name]

What this template includes

  • Two to three professional referees with relationship and tenure
  • Permission timing for each referee
  • Topics HR will ask about
  • Confidentiality of referee responses
  • Candidate declaration that referees are genuine
  • HR call log section

When to use it

  • At the final interview stage or after offer acceptance
  • For senior, finance or client-facing roles where references matter
  • When BGV covers employment dates but not performance
  • When the candidate is concerned about their current employer finding out

How to customise this template

  1. 1Ask for at least one former manager as referee
  2. 2Add a standard question set used by your recruiters
  3. 3Specify call or email as the contact mode
  4. 4Attach a reference feedback form for HR to fill

HR tips

  • Do not call referees the candidate has not listed without permission
  • Ask the same questions to every referee for fairness
  • Check referee identity using official email or LinkedIn
  • Keep referee feedback confidential

Treat reference information fairly and confidentially. Review the form with your legal adviser and against applicable laws.

For HR & hiring managers

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Frequently asked questions

How many references should a candidate give?+

Two to three professional references are typical, ideally including a former manager.

Can HR contact my current manager?+

Only with your explicit permission. This form lets you say when the current employer may be contacted.

Will I see what my referees said?+

Referee feedback is usually kept confidential, but any concern raised should be discussed with you fairly before a decision.