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) (If your subject has not had a background check done by our office in the last three years, then you can not use this form. You will need to use the first time background check form. AAA OR/ID will not allow us to process any yearly renewals that are over thee years past due.)
    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 and Sex Offender Registry Search only.Add Non-Criminal Violation and Infraction Search +$5 per state (OREGON and IDAHO only).

    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)