Employment/Pre-Employment Screening
USER ID: (Required)
Requesting results by: Choose One Fax Telephone
Applicant Information
Name:
SSN: Date of Birth:
Address:
City: State: Zip Code:
Phone:
Present employer:
Services
Our standard service is "ZEBRA Heads Up" for $50.00. You may select as many additional services as you need. Please note: Delivery times may vary. Only "ZEBRA Heads Up" is guaranteed in 1 hour.
Standard Service: ZEBRA Heads Up $50.00 (required)
Criminal Records (3-5 days) - add $40.00 (current county is searched)
Nationwide Wants and Warants (3-5 days) - add $35.00
Sexual Offender Search (3-5 days) - add $20.00
By submitting this form, you agree to use the information obtained from ZEBRA Credit Report Services for permissible purposes only. You also agree to keep your applicant's original application on file for a minimum of two years. If you choose not to hire an applicant (or to fire an existing employee), it must be done in accordance with federal and state laws. You will be charged for the total amount of services requested.
