1. Background Check Assignment Form….. 2. Agreement….. 3. Payment….. 4. Complete

The following is an assignment for a background check investigation.  To assign a case please fill out as much information below.  You will then be automatically redirected to an agreement page and then payment processing.  Please contact us directly if you have any questions.

Your Information:

Your Name (required):

Your Company:

Your Email (required):

Your Phone: Your Cell: Other:

Your Address: Your State: Your Zip:



Case Information:

Please fill out this information if you have a filed court case.

Case Name: Case Number:

Due Date:



Subject Information:

If more then one subject please use "other" box below for that information.

Subject Name:

Subject Company:

Phone: Cell: Other:

Address: State: Zip:

Date of Birth SSN:

Subject Description:

Vehicle Information:

Other/Additional Information:

The following is for any file you feel we might need:


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Press the button below to go to the next step. Depending of the amount of information this may take a couple of minutes to process.