Request a Copy of Your Background Report

Request a Copy of Your Background Report

First Name *

Middle Name

Last Name *

Social Security Number (Last 4 Digits) *

Date of Birth (MM/DD/YYYY) *

Address *

City *

Province/State *

Postal/ZIP Code *

Phone *

Alternate Phone/Cell

Email *

Confirm Email *

How would you like to receive your report? *

Printed Copy

Dispute a Portion of Your Report? *

Yes

Company/Potential Employer *

Comments or Questions
(Please include the Report File Number, Report Date, specific records you are disputing, or any additional questions or comments relevant to the dispute. If you are requesting a full file, please indicate that here, as well. Thank you!)

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