Yearly Renewal Background Check for AAA OR/ID

Fill out this form if you had us complete a background check on this Subject in the last year(s).

To complete this form you will need:

1. The Subject’s current address.
2. A copy of the Subject’s State Driver’s License.
3. The last 4 digits of the Subject’s Social Security Number. – Only required by Agero
4. The last background check date (month and year).
If you need a list of employees searched in the last few years, just contact our office.

    Company:*required

     
    Subject's Info:

    First Name: *required
    Middle Name: *required
    Last Name: *required
    Maiden Name or other last names ONLY if used in the last year(s):
    Additional charges will apply. Each name is a separate search.
     
    Date of Birth:
    Month: *required
    Day: *required
    Year: *required
     
    Last 4 digits of SS#: -REQUIRED by AGERO
    Drivers License #: *required
    State of License: OregonIdahoWashington*required
     
    Current Residential Address:
    Street: *required
    City: *required
    State: OregonIdahoWashington*required
    Zip: *required
     
    Date of Last Background Check: (Email or call if you need date of last check).
    Month: *required
    Year: *required

    Select any state the Subject has resided and worked since the last background check.*required
    OregonIdahoWashington

     
    Has the Subject been convicted of a crime (Felony/Misdemeanor) since date of last background check?*required

    YesNo Felony/Misdemeanor Convictions since date of last background check.

    List State, County, and Date of Conviction:

    Record Search Option:*required

    Criminal Record Search only.Non-Criminal Violation and Infraction Search +$5 per state (OREGON and IDAHO only).Add Sex Offender Registry Search. +$5.Add Sex Offender Registry Search and Non-Criminal Violation and Infraction Search (OREGON and IDAHO only). +$10.

    Invoice / Receipt handling:*required

    Email the invoice/receipt and results.Fax the invoice/receipt and results.Mail the invoice/receipt and results.

    Your Identity:*required

    My name is and...

    I am the OWNER of the above business. I have confirmed the subject has lived in OR and/or ID since the date of the last background check.I am the MANAGER of the above business. I have confirmed the subject has lived in OR and/or ID since the date of the last background check.

    Please use the following email address for correspondence with me: *required
    (This email address will be kept confidential)

     

    Answer Quiz: (to reduce spam)