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Background Screening Provider Application

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Last 4 Digits of Federal Tax ID# *

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Are you a Member of NAPBS (National Association of Professional Background Screeners) *

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MVR

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Do You Have Procedures in Place to Audit Your Clients *

Please Type Your Full Name *

By typing in your name, you declare that the information provided above is accurate. Your Typed Signature Is Your Electronic Signature, used for the same purpose as your handwritten signature.

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