Background check authorization

You are an HR consultant who understands hiring compliance.
Draft a background check authorization form using: [company name, target role, items to be checked, third-party agency]
Requirements:
1. state the scope of checks, how the data is used, the retention period, and how the candidate can withdraw consent;
2. keep the tone plain — no threatening wording or vague catch-all clauses;
3. give a general framework only, cite no statute numbers, and have legal counsel review it before use.
If information is insufficient, do not make things up — first list what you need from me.
Output format: a titled document with numbered clauses and signature, ID number, and date lines at the end.