Paragon Services - Pre-Employment Screening Request Form

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Pre-employment screening request form

REQUESTOR'S NAME:

EMAIL ADDRESS:

COMPANY:

ADDRESS:

TELEPHONE:

FAX:

CHECKLIST FOR REQUIRED ATTACHMENTS

Applicant Consent Form for Pre-Employment Investigation & Specific Release
Form available here.

Applicants Resume or Application Form

(These items are to be faxed to 888-843-0498.)

SUBJECT INFORMATION

LAST NAME:	FIRST:	MIDDLE:
STREET ADDRESS:
CITY:	STATE:	ZIP:
TELEPHONE:
DATE OF BIRTH:	SOCIAL SECURITY NUMBER:
DRIVERS LICENSE NUMBER:	STATE OF ISSUE:

(Please check all areas you would like included in our investigation)

Education Verification
Professional Licensure / Certifications
Employment History Verification
Social Security Trace
Credit Reports
Civil and Criminal Records Check
(Specify State and Counties to be Searched)
County:
State:
Driving Record History
National Bankruptcy Screening

SPECIFIC INSTRUCTIONS / REQUESTS / COMMENTS