Please ensure that all information is 100% correct before pressing the submit button. You will be charged for each background check ordered even if there was a mistake on any of the information provided.
* Denotes a required field
Company Name *
Your Email*
Contact Name*
Phone Number*
Service Requested* ---DMV Only (Varies by State)BasicFull ScopeBasic w/DMVFull Scope w/DMV
* Full Scope searches may take 3-5 days to complete* *Additional fees apply with the Full Scope searches that request more than two most recent counties*.
Education Verification + $15.00 per verification + whatever associated Federal Searches + $13.00 per name DMV Check + Price (Varies per State)
Employee Name*
Employee Alias/ Maiden Name (additional $15 check, plus any additional options): *
Employee Date of Birth*
Employee Social Security Number*
Current Zip Code*
Current City and State*
***If Driver Motor Vehicle Check is Requested***
Driver License Number
State license was issued
***County Search: One Zip Code City, State and County and Required***
Please enter below the Zip Code followed by the City, State and County you wish to be searched: (included in full scope or additional to basic)
Enter a second Zip Code, City, State and County you wish to be searched: (included in full scope)
Please enter additional Zip Codes, Cities, States, and Counties you wish to be searched: (additional to full scope) (additional to full scope)
Did the applicant list any known charges or criminal activity? Yes No
If "Yes", please list all that was provided on release form:
Please leave this field empty.
