8:30am to 5:30 pm
Mon thru Fri
Phone: 704-544-7456
Fax: 704-504-0931
Toll Free: 1-877-544-8503
Credit Card Form

Company Name:
Contact Person:
Telephone:
Email:
Subject Information First Name:
Middle Name:
Last Name:
Maiden Name:
Date of Birth:
SSN:
Criminal Search (Search results are returned in 24 to 48 hours)
 No  Yes
State: 
County: (enter only if requested)
DMV Search (In most cases, search results are returned in 24 to 48 hours):
 No  Yes
State
Driver's License #:
Credit Report ($15.00)
 No  Yes
Address:
City:
State:
Zip:
Sex Offender Search ($5.00)
 No  Yes
State:
Social Security Trace ($5.00)
 No  Yes
SSN:
Federal Criminal History Search ($20.00)
 No  Yes
Federal Bankruptcy History Search ($5.00)
 No  Yes
Drug Test - 10 Panel Drug Screen ($42.00)
 No  Yes
CREDIT CARD INFORMATION: Card Type
Card Number:
Expiration Date: /
Name As it Appears on Card:
Billing Address:
Billing City:
Billing State:
Billing Province:
Billing Country:
Billing Zip:
Billing Phone:
*Card Security No:
Additional Comments



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