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Polygraph Examination Consent Agreement
POLYGRAPH EXAMINATION CONSENT AGREEMENT
Date [Date of Agreement]
Name [Name of Employee]
Date of Examination [Date of Examination]
My agreement to undergo a polygraph examination on the above date is completely voluntary. A company representative has advised me of the following legal right(s) relevant to this examination:
I am aware that according to law, I am guaranteed the right not to take this examination as a condition of employment or continued employment.
I hereby certify that I have not been coerced in any way into taking this test or signing this consent agreement.
I have kept a copy of this agreement for my records.
Signature Date