Request Background Check

Fill in the form below to let us know which service you're interested in

and how we can help - we'll get back to you as soon as possible.

First name

Last name

DOB

Month

Day

Year

Phone number

SSN

Multi-line address

Country/Region

Address

City

Zip / Postal code

States Previously Lived In

"I agree to Background Check Authorization"

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date

Month

Day

Year

Legal Disclosures & Authorizations (Please Read Carefully)

Federal Fair Credit Reporting Act (FCRA) Disclosure Still Water Security Company, LLC ("the Company") may obtain information about you from a consumer reporting agency for employment, tenancy, or verifiable legal purposes. Thus, you may be the subject of a "consumer report" and/or an "investigative consumer report" which may include information about your character, general reputation, personal characteristics, and/or mode of living.

State-Specific Notices

California Applicants/Residents: Under California Civil Code section 1786.22, you are entitled to find out from an investigative consumer reporting agency what is in the ICRA’s file on you with proper identification. You have the right to request a free copy of your report.
New York Applicants/Residents: You have the right to inspect and receive a copy of any investigative consumer report requested by the Company. By signing below, you acknowledge receipt of Article 23-A of the New York Correction Law.
Washington State Applicants/Residents: You have the right to request from the consumer reporting agency a written summary of your rights and remedies under the Washington Fair Credit Reporting Act.
Minnesota & Oklahoma Applicants/Residents: You have the right to request a free copy of your consumer report by checking the appropriate box below.

I have read the disclosures above and I agree to the Background Check Authorization. I authorize Still Water Security Company to conduct a background investigation.

CA, MN, and OK Residents Only: Check this box if you would like to receive a free copy of the background check report generated by Still Water Security Company.

New York Residents Only: Check this box to acknowledge you have received or have been provided access to a copy of New York Correction Law Article 23-A.