(Step 1 of 5) ABOUT YOUR COMPANY:

To request an Annual Business Credit report, click here.

To process background screens with Info Cubic, please complete and submit the following application. You will not need an account with Info Cubic to request an Annual Business Credit Report.

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Company Name and DBA (if applicable): *

Street Address (physical address needed, no PO Box) *

City *

State/Province/Region *

Zip Code *

Country

Address Type (Choose one): *

Commercial

Residential

Private Residence

In order to establish service with Info Cubic and receive background report information for the certified permissible purpose, you must certify the following:

The business office must be separate from and not utilized as "living quarters" (living room, dining room, kitchen, bedrooms, den, etc.) and there must be a lockable door separating the "office" securing it from any part of the living quarters.
At all times, those not associated with the business (i.e. visitors, guests, maintenance workers, landlords, etc.) must not be permitted access to the office.
The security of the equipment used to access background screening data (i.e., consumer reports and all associated information) (desktop PC, laptop PC), as well as any hard copy data, is of the utmost importance and must be properly protected.
Any background screening (i.e., consumer report) data accessed and used by the business must be securely stored in locked cabinets and protected at all times from view and/or access by persons not associated with the business.

*

I hereby represent, warrant, and certify that the information is true, accurate, and complete.

Published Phone Number *

Web Address

Number of employees: *

Estimated volume of reports to be requested (annually): *

Business Type (choose one): *

State or Country of incorporation/organization:

Year business started:

Other:

Please describe the nature of your business or industry: *

Other:

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Consumer Reports will be requested for (select all that apply): *

Employment Purposes

Screening volunteers

Other consumer-authorized screening (describe):

Other:

Client Application and Information Form

(Step 1 of 5) ABOUT YOUR COMPANY: