Polygraph Consent Form

State:
Multi-State
Control #:
US-211EM
Format:
Word; 
Rich Text
Instant download

What is this form?

The Polygraph Consent Form is a legal document that an employee uses to grant permission for a polygraph test. It ensures that the employee understands the voluntary nature of the test and acknowledges that they are not being coerced into participating. This form is important for legal compliance, differentiating it from forms that may be used for other types of employee assessments or testing.

Main sections of this form

  • Consent declaration stating that participation is voluntary.
  • Confirmation that the employee has not been coerced into signing the agreement.
  • Space for the employee's signature and the date of signing.
  • A statement regarding retaining a copy of the consent agreement for personal records.

When to use this document

This form is necessary when an employer requires an employee to undergo a polygraph test as part of an investigation or for compliance purposes. It is often used in industries where security, confidentiality, and integrity are paramount, such as law enforcement or financial services.

Intended users of this form

  • Employers seeking to administer polygraph tests to employees.
  • Employees who are required to take a polygraph test as part of their job obligations.
  • Human resources personnel involved in the testing process.

How to complete this form

  • Review the form to understand the terms of consent.
  • Affirm that you have not been coerced into signing by marking or initialing where required.
  • Sign and date the form in the designated areas.
  • Make a copy of the signed form for your records.
  • Submit the original signed form to your employer or designated HR representative.

Notarization requirements for this form

This form does not typically require notarization to be legally valid. However, some jurisdictions or document types may still require it. US Legal Forms provides secure online notarization powered by Notarize, available 24/7 for added convenience.

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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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We protect your documents and personal data by following strict security and privacy standards.

Mistakes to watch out for

  • Failing to read the form thoroughly before signing.
  • Not retaining a copy for personal records.
  • Missing the signature or date fields.
  • Not understanding the voluntary nature of the test prior to consent.

Why complete this form online

  • Convenience of accessing and completing the form from any location.
  • Editability allows users to fill out the form at their own pace.
  • Reliable access to a legally vetted form drafted by licensed attorneys.

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FAQ

Polygraphs measure physiological arousal factors, including heart rate, blood pressure, respiration, perspiration, and skin conductivity. The theory of the lie detector test is that these physiological responses will be different when the subject is truthful versus when the subject lies.

According to a report from the National Academy of Sciences, a variety of mental and physical factors, such as anxiety about being tested, can affect polygraph results making the technique susceptible to error. Unfortunately, once you have failed a government polygraph test, there may be little you can do to

The answer: sort of. Dr. Saxe explains: The fundamental problem is that there is no unique physiological response to lying. So, yes, anxiety plays a role, as do medications that affect heart rate and blood pressure.

Polygraphs are easy to beat." NSA spokeswoman Vanee Vines says that the polygraph "is one of the vetting tools" used by the NSA and other federal agencies "to assess an individual's eligibility for access, and continued eligibility access, to highly sensitive intelligence information."

When you answer a question on the polygraph, give only the answer that is required. That means yes or no only. A closed question, in the context of the polygraph test, can be challenging to answer, however especially when a binary yes or no feels too simplistic. That is the point.

How to cheat it. According to George Maschke and Gino Scalabrini, authors of The Lie Behind the Lie Detector, there are four ways to beat the test: Change your heart rate , breathing rate, blood pressure and sweat level while answering control questions.

You will be asked about the following topics during a typical police polygraph or CVSA: Shoplifting or theft of money or merchandise from employer. Illegal drug trafficking or dealing. Illegal drug or medication use, including steroids.

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Polygraph Consent Form