Case Request
    
 
    

You must be current customer to request a case, if you are not please follow the link to:

Customer Application
To obtain a report via Email or Fax, Please complete the information requested below along with the level of investigation requested.

You must be an approved ABI End User to receive results.
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    What type of investigation would you like to request?    

  Entry Level

  Criminal

  Level 1

  Motor Vehicle

  Level 2

  Employment Verification

  Education Verification

  Professional References

  Credit History

  Professional License

  Social Security

  OTHER  


Credit Reporting Waiver:
If you are requesting a credit report please initial below to certify that the appropriate waiver has been signed by the applicant:

Initials of Responsible Person

Applicant Information:
Full Name:  
Address:  
City:  
State:  
Zip Code:  
Phone:  
SSN:    (000-00-0000)
DOB:    (00/00/00)
Maiden Name:  
Drivers License No.   State

  State

County Criminal Investigation:
 Please complete the following information based on which criminal reports you are requesting for the name on the order form.
COUNTY (or CITY): STATE:
COUNTY (or CITY): STATE:
COUNTY (or CITY): STATE:
COUNTY (or CITY): STATE:
COUNTY (or CITY): STATE:


Education Verification:
Institution Dates of Attendence Degree Received City and State Phone Number
of Institution

Military Service
Military Service Yes No      Branch of Military:


Employment Verification:
Employer Address of Employer Phone Number of Company Name of Supervisor


Personal References:
Name Phone Number of Reference


Professional License:
Type of License to Verify State


Comments

Contact Information
 You must be an approved ABI End User, for more information click the link below:
 How to Begin: By submitting this Order Form I am certifying that I understand that the Fair Credit Reporting Act provides that anyone "... who knowingly obtains information on a consumer from a consumer reporting agency under false pretenses shall be fined not more than $5000 or imprisoned not more than a year, or both."
Name
Company
Telephone
FAX
E-mail Required for email reports
How would you like your report sent?

 Email  Fax 

 

 
    
    

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