Infinite Data: Pre-Employment Screening

Pre-Employment Screening,

Background Security Checks, and

Criminal Identification

Request Form

Click here for the Tenant Screening Agreement and Request Form

For all Information Requests, you must agree to our
Terms of agreement. Please print for your records.
For all Screening Reports, we will need the employee or potential
employees signed statement before any research can be performed!
Click Here for our Release Form.

All information in Red is a required field and will need to be completed.
All information is held in complete confidentiality, it will NOT be sold or
misused in any way.

I agree to Infinite Data's Terms of Agreement. This is required for all requests.
Please enter your name:
Please enter today's date:

End User Company Name:
Requester Name:
Billing Address:
City:
Delivery State:
Zip Code:
Area Code and Phone Number:
E-mail:
Fax Number:
Mobile/pager Number:

All pricing below does NOT include out of the pocket expenses for reference fees, long distance charges, court fees, transcript fees, state registry fees, central repository fees, etc.
Click on the reports below to see examples, turnaround times, and uses.

Check the Reports needed:	Pricing is for each report per subject.
Application & SSN Verification, $37.00.	DMV Report (Not CA), $42.00.
Bankruptcy Record, $43.00.	Employment Verification, $28.00.
Military Verification, $62.00.	References Verification, $29.00.
Education Verification, 32.00.	Professional License Verification , $29.00.
Workers Compensation, 49.00.	Call for:
	Business Credit Trade History, $60
Felony & Misdemeanor Search, $42.00

All RED entries are required for Pre-Employment Screening:

First Name:
Middle Name or at least an initial:
Last Name:
Other Names or AKA's:
Date of Birth:
Current or Previous address:
City:
State:
Zip Code:
County:
Social Security Number:
Phone number:

Education Verification Information:	See below for multiple education searches; $24 each.
School name for education verification:
School location city:
School location state:
School phone number:
School attendance dates (1/1/91-1/1/94):

Reference Verification:	See below for multiple employment searches; $22 each.
Reference verification; Name:
Reference verification; address:
Reference verification; City, State, Zip:
Reference verification; phone number:

Employment Verification:	See below for multiple employment searches; $26 each.
Employment Company:
Employment Company Address:
Employment Company City, State, Zip:
Employment Company Contact Name:
Employment Company Position Held:
Employment Company Telephone Number:
Employment Start & Stop Dates:
Employment Yearly Income:

Credentials and Professional License Verification:
Type of License or Certification:
Credentials or Professional License Description:

Workers' Compensation State:

Driving Records State of Issue:
Drivers License Number:

Please enter any other information that might help in this search project:

Please enter any Criminal or Misdemeanor activity listed on the application:

Please enter extra Education Verification names, addresses, cities, states,
attendance dates, and phone numbers, $24 for each entry:

Please enter extra Reference Verification contact names, addresses, cities,
states, and phone numbers. $20 for each entry:

Please enter extra Employment Verification company names, addresses,
cities, states, and phone numbers, positions, start & end dates, and
yearly income. $26 for each entry:

Please verify that everything is correct on the form and press Submit.
We may contact you for clarification if necessary.