Shield Screening Account Setup

Organization Name *

Company Website * 🛈

Main Contact First Name *

Main Contact Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Company Phone Number *

Email Address *

How long has the organization been established? *

Type of Organization *

Fax number

Purpose for Background Checks *

Tax ID Number/FEIN *

Shield Screening is required to credential all new clients. Please upload one of the following for documentation: Certificate of Insurance, Secretary of State Articles of Inc, IRS Correspondence/W9 * 🛈

Your monthly invoice will include an automatic charge for sales tax. If your business is Tax Exempt, kindly upload a PDF file of your most recent Certification here.

Additional User Setup

First Name *

Last Name *

Username (email address) *

Our company has offices located in California where California residents may be employed * 🛈

Yes - I have read and agree to the following addendum regarding CONSUMER REPORT REQUIREMENTS PURSUANT TO THE STATE OF CALIFORNIA.

No