Background Check Request Form
To expedite your request, please include as much information as possible.
Please fill out this section with YOUR information.
We will verify your information before completing the requested background check.
Legal First Name
Legal Last Name
Email
Cell Phone Number
Date of Birth
Employer
Employer Phone Number
Reason for Background Check
What is your relationship to this person
Relative
Current or Former Spouse/Partner
Dating
Employee
Friend
Business Partner
Other
What type of background report would you like
Basic
Advanced
Comprehensive
Upload a picture of your photo identification. Please make sure it is clear.
Select a File
e.g. drivers license, passport, state ID card, etc.
Please tell us about the person you are requesting to run a background check on.
Please provide as much information as possible.
First and Last Name
Aliases or Nicknames Used
Know Emails
Known Phone Numbers (land lines, cell, unlisted, etc.)
Current Address
Former Address
Roommate information (if shared residence)
Last Known City Location
Social Media Profiles
Facebook
Instagram
LinkedIn Page
Social Security Number (if known)
Date of Birth - If you don't know the date of birth, please enter 01/01/1900
Occupation and Employer
Employer Contact Information
Any legal cases pending
Select an option
Yes
No
Unknown
Is this person deceased
Select an option
Yes
No
Unknown
Please add any other details that you know:
Signature - By electronically singing this form, you certify that the information you have provided it correct and you are not prohibited by law to obtain this information.
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