PreCheck - Investigate Further - Servicing your Credentialing and Background Verification Needs
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FAQ


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Program name :


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Please complete the order information and form below. A background check typically takes 3-5 business days to complete, and turnaround time of drug screening results, if included, is determined by a variety of factors. Your report and/or drug screening results will be provided directly to your clinical site or school upon completion.


If you have already ordered your background check, you may go here to check the status.

* Please provide your Country of residence.  
USA Other  
*Country Name
 

*First Name   *Current Address
*Middle Initial or Middle Name   *City/Province

*Last Name

  *State/Region
*DOB
ex. 12/31/1970
  *Zip Code
Driver License#:  

*Phone
ex. ###-###-####

Issued By:(State/Country)
  *e-mail
I-94
  *Confirm e-mail
 
*Social Security No.
Social Security No or USCIS Form I-94 (Arrival-Departure Record)
 -  -
  *Confirm SSN  -  -
 
And/Or

 
Foreign National Identification Number(NIN)

 
Document Type

Other Names
  First Name Middle Name Last Name
Alias 1:
Alias 2:
Alias 3:
Alias 4:


*
Please provide all prior locations where you have resided for the past seven (7) years:

*Address *City/Province *State/Region *Country Zip  
Add Another Residence
Address City/Province State/Region Country Zip  
Add Another Residence
Address City/Province State/Region Country Zip  
Add Another Residence
Address City/Province State/Region Country Zip  
Add Another Residence
Address City/Province State/Region Country Zip  
Add Another Residence
Address City/Province State/Region Country Zip  
Add Another Residence
Address City/Province State/Region Country Zip  


Please complete the following regarding your education.
*Name of High School, College, University, or Institution of Professional Training where you completed the highest level
Highest level is GED (applicable to U.S. students only)
*GED State
*Campus Name *Campus City/Province *Campus State/Region
Campus Country
*Name under which you graduated or name on GED
*Attended Dates From   To    
OR
*Year Graduated/Completed GED



Please list any current healthcare licenses you hold.
License Type License State/Region License Country License Number  
Add Another License
License Type License State/Region License Country License Number  
Add Another License
License Type License State/Region License Country License Number  
Add Another License
License Type License State/Region License Country License Number  
Add Another License
License Type License State/Region License Country License Number  
Add Another License
License Type License State/Region License Country License Number  


* Have you ever been convicted of a crime? Yes No
*Where  City/Province *State/Region *Country When (mm/yyyy) Offense  
Add Another Crime
Where  City/Province State/Region Country When (mm/yyyy) Offense  
Add Another Crime
Where  City/Province State/Region Country When (mm/yyyy) Offense  
Add Another Crime
Where  City/Province State/Region Country When (mm/yyyy) Offense  
Add Another Crime
Where  City/Province State/Region Country When (mm/yyyy) Offense  


* Method of Payment.
Credit Card
Money Order
Debit/Credit Card Type
Name on Card
Card Number
Expiration
Billing Address1
Billing Address2
City
State
Zip
Who Does the CreditCard belong to?
Self
Other
* Relationship to Cardholder .
* Card holder's Contact Number .
Subtotal
Tax
Money Order Handling Fee
This fee is required to offset the cost of handling money orders.
Total
To pay by money order, please send money order made payable to "PreCheck, Inc." with a copy of the email you will receive confirming your order. Mail to PreCheck, Inc., 2500 E T C Jester Blvd. Suite 600 Houston, TX 77008. Your background check will not be started until your money order is received.
PERSONAL CHECKS NOT ACCEPTED.
none