SSN4

Customer Information

The information below is required before we can process your request. The information below must match the information we have on file for you. If you are not sure what your customer number is, please contact us at 1-800-678-8774.

Customer Number
Phone Number
Company Name
Your Name

I understand that I must comply with all provisions of the Federal Fair Credit Reporting Act (F.C.R.A.) and/or (Public Law 91-508, 15 U.S.C. Section 1681 ET SEQ., 604-615) and Consumer Credit Reporting Act (California Civil Code Sec. 1785.1 - 1785.34) and the Grahm Leach Bliley Act (Section 313.15(a)(2)(ii) or other jurisdictional requirements), and all Federal, State and Local statutes, laws and regulations, etc. Information will be requested only for the Subscriber's exclusive use, and the Subscriber will certify for each request the purpose for which for which the information is sought and that the information will be used for no other purposes. Subscriber agrees and understands that Credit Headers will be furnished to a Subscriber who it has reason to believe will use the report for permissible purposes,namely: (YOU MUST CHECK ONE)

Permissible Purpose

Once we receive your request, the order will be processed and returned to you by FAX ONLY. We can no longer EMAIL this search.

Return Method
Fax Number
RUSH SERVICE
Would you like to put a RUSH on this order? Yes No
Rush service may not be available on all searches, for specific inquiries on availability and rush fees, contact our office at 800-678-8774.

Please provide us with the following information.
You may enter in up to 10 Social Security Numbers.
The criteria with the "!" next to them are required.

Search Criteria

Social Security Number #1!
Social Security Number #2
Social Security Number #3
Social Security Number #4
Social Security Number #5

You can add another SSN to this order below, or click HERE to go to the Process Button.

Social Security Number #6
Social Security Number #7
Social Security Number #8
Social Security Number #9
Social Security Number #10

Ten SSN searches is the maximum that you may order at one time.

Click HERE to go to the Process Button.

TO COMPLETE YOUR ORDER, CLICK ON THE "PROCESS" BUTTON.

Turn around times are estimated, not guaranteed.

DO NOT click on the "Try Again" button unless you have made an error and need to start over from scratch.

Clicking on "Try Again" will erase the above fields.

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