This form is for background investigators requesting a records check for applicant contact with our agency. Relevant records will be released only if a signed release form and a business card, or investigator credentials, are included.
Phone number to use to contact requestor with additional questions or follow ups
Please attach a copy of your credentials or business card as well as signed release and any other supporting documents:
File attachments associated with the ticket.
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Acknowledgement of 5-day timeframe:
Acknowledgement of 5-day timeframe:

Other Fields

Your name
Verification Code