I understand that, under the Fair Credit Reporting Act, I may request a report on myself from backgroundchecks.com by giving backgroundchecks.com
written instructions to provide a report.
This paragraph applies if I am ordering a driving report. I understand that, under the Driver Privacy Protection Act and related law in some states,
I may request my own individual driver history record through backgroundchecks.com, but only if backgroundchecks.com has obtained my written consent to obtain it.
My driver history record contains my individual driver history information, but is not a certified copy. This record does NOT include any complete,
personally identifying information, such as photograph, address, social security number, telephone number, or driver’s license number.
I understand that backgroundchecks.com uses an online process that requires me to prove who I am. As a part of that process, backgroundchecks.com records my
internet protocol address for my computer. I understand that backgroundchecks.com will not refund the fee I am paying if the online tool is unable to verify who I am.
I understand that I must instead follow backgroundchecks.com’s instructions on how to prove who I am by providing copies of records. I understand that until I do
prove who I am (either through the electronic tool or through copies of records), backgroundchecks.com will not process my order.
I also understand that, under the Uniform Electronic Transaction Act or the Electronic Signatures in Global and National Commerce Act, I may sign this form electronically.
By selecting the “I agree” option below, I, , agree that:
I read, understood, and agree with the information above;
I am ordering a report about myself;
I am instructing backgroundchecks.com to prepare that report in accordance with the service selections I have made (including a driving history record, if I am ordering one); and
I intend my actions on this form to be my electronic signature.
I do not agree
I agree
By selecting the “I consent” option below, I, , consent to:
backgroundchecks.com obtaining information about me to prepare a report for me about me; and
if I am ordering my driving history record, I consent to backgroundchecks.com obtaining it for me.