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BackTrack, Inc.
800-991-9694 (toll free)
440-205-8280 (local)
440-205-8355 (fax)
bti@backtracker.com


Client Profile



Click here if you have not yet spoken to a member of our sales staff.

 

At BackTrack, protecting confidential consumer/applicant information is our highest priority. Because of this, we have adopted the same policy as the national credit bureaus to verify that the companies we work with are legitimate business entities with a legal and permissible purpose to obtain the information we provide. This policy includes verifying your business checking account, contacting business references, and performing a site inspection at your facility. While these measures may seem extreme, we believe that they are a necessary precaution to reduce the increasing incidence of identity theft. The cost for the site inspection and account verification is a one-time fee of $75.00. This will appear on your first invoice.

PLEASE READ AND ANSWER THE FOLLOWING QUESTIONS.

Fields (* are required)

Company Information

* Company Name:
Address:
City:
State:
Zip
Country
Phone:
Fax:
Division Number:

Invoice Information

* Contact Name:
* Email:
Address:
City:
State:
Zip
Country
Phone:
Fax:

Authorized Personnel

(list all persons ordering background screens from your division):

* Contact Name 1:
* Title:
Address:
City:
State:
Zip
Country
Phone:
Fax:
* Email:
* Contact Name 2:
* Title:
Address:
City:
State:
Zip
Country
Phone:
Fax:
* Email:

Your BackTrack Sales Representative:


If you don’t have a Sales Representative, how did you hear about BackTrack?

May we say we represent you as our client?

May we contact the applicant for date of birth or any other clarification of provided information?

Other Information:


For your standard practices, which services will you be ordering? Please indicate which package or services you will most often order.

BackTrack will verify the highest degree attained by your applicant. If you would prefer another option (highest education to include partial college, verify all degrees held - additional charges will apply, etc.), please indicate.

Occasionally there is a delay due to court closings, school closings, employment done only via mail, supervisor to contact is out-of-town, etc., would you like a partial report sent to you to keep informed?

Our policy is to never call current employment, without your applicant saying YES and it is so noted on our release. Is it agreeable to you that we call current employment if applicant said "YES?"

* Approximate number of applicants you anticipate to screen each month?


Many times applicants have lived in more than one county. Industry standards are to search for the past seven years. May we do more than one county search? (Each additional search will be billed as an additional charge.)

Yes
No

How will you request background screens from BackTrack? A Customer Service Representative will contact you to confirm and review your specific handling instructions.

Name of person completing Client Profile


Click here to download a copy of this form to print, sign, and fax to us.

Agreement for Service and Client Information

BackTrack, Inc.
8850 Tyler Boulevard
Mentor, OH 44060
800-991-9694 (toll free)
440-205-8280 (local)
440-205-8355 (fax)





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