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Shield Screening Account Setup
Organization Name
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Company Website
*
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Main Contact First Name
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Main Contact Last Name
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Street Address
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Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Company Phone Number
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Email Address
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How long has the organization been established?
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Type of Organization
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Fax number
Purpose for Background Checks
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Other
Credit Assessment/Prepayment Risk
Insurance Underwriting
Credit Transaction
Employment
Volunteer
Tenant Screening
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
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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
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Last Name
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Username (email address)
*
Our company has offices located in California where California residents may be employed
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Yes - I have read and agree to the following addendum regarding CONSUMER REPORT REQUIREMENTS PURSUANT TO THE STATE OF CALIFORNIA.
No