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EMPLOYER OF
RECORD
PAYROLL FUNDING
PAYROLL
PROCESSING
Request for Pre-Employment Services
Requesting Agency:
Requestor Name:
Requestor Email:
Requestor Phone:
Full Name of Candidate:
Candidate Email:
Additional Notes:
PLEASE CHECK ALL REPORTS REQUESTED FOR THIS CANDIDATE
Criminal History
Social Security Verification
Credit Report
Education Verification
Motor Vehicle Report
Employment Verification
Pre-Employment Drug Screen
Note:
The above services require a signed release of information
authorization by employee.
1616 S. Voss, Suite 700
Houston, TX 77057
713.975.7576
713.783.1566 fax
800.701.4014
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