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Reactivate an Account
Cara
2022-12-12T12:53:50-05:00
ACCOUNT REACTIVATION AGREEMENT FOR SERVICE
This Agreement (the “Agreement”) is entered into by and between SecureSearch (www.securesearchpro.com), its applicable subsidiaries and affiliated companies, and the undersigned (“Customer”). Affiliate shall mean any business entity that controls, is controlled by or is under common control with a party.
This Agreement for Service is made and entered on the 8th of Sep, 2024, between SecureSearch™ and
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(Organization Name, hereinafter called "Customer").
Select option that best describes your Company/Organization
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Please Select
Non-Profit (Other than Churches)
Church or Faith-Based Non-Profit
Employer
School
Youth Sports
Staffing
Franchise
Tenant
Other (Please Specify)
Are you a Pushpay Customer
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Yes
No
Would you like your Pushpay account integrated with SecureSearch?
*
Yes
No
Are you a Rock RMS Customer
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Yes
No
Would you like your Rock RMS account integrated with SecureSearch?
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Yes
No
Church Pushpay Administrator Contact Info
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First
Last
Church Pushpay Administrator Email
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Pushpay URL
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Please specify:
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Non-Profit
Faith-Based
For-Profit
If Other, Please specify:
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Federal Employer Identification Number (FEIN) or Tax Exempt ID
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Address
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Street Address
City
State / Province / Region
ZIP / Postal Code
Main Phone
*
Website
Billing Options
Choose a Payment Method:
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Credit Card (Preferred)
Direct Invoice (Pay by Check)
Billing Contact Info
*
First
Last
Billing Contact Email
*
Billing Contact Phone
*
Hidden
Pay by Credit Card
Credit Card (Preferred)
Please Select
MasterCard
Visa
American Express
Discover
Cardholder Email
*
Credit Card Number
*
Expiration Date
*
Credit Card Security Code
*
Name as it appears on card
*
Billing Address (if different from above):
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Customer hereby allows SecureSearch to bill all monthly activity to Customer’s credit card. Customer also agrees that they are responsible for payment by alternate means of payment if credit card transaction is declined.
Monthly billing may require a separate credit application. SecureSearch will determine if a credit application will be needed and notify responsible party. All invoices sent via E-mail. Please provide two (2) valid E-Mail addresses for accounts payable and/or other responsible parties. Customer agrees to pay a $25.00 penalty if insufficient funds are available.
Name
*
Email
*
Phone
*
Name
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Email
*
Phone
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FCRA/Permissible Purpose
What is your permissible purpose for ordering services with SecureSearch™ per the FCRA (§604. Permissible purposes of consumer reports [15 U.S.C. § 1681b])?
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Employment Purposes (May include Employees, Volunteers and Contract Labor)
At Written Consent of Consumer (May include Volunteers, Tenant Relationships, Business Relationships and other purposes as set forth in the FCRA)
Both
Do you need access to Credit Reports? (site visit and additional documentation may be required - $85 one-time fee)
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Yes
No
If Yes, please select you Purpose for obtaining credit information:
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Employment Purposes (May include Employees, Volunteers and Contract Labor)
At Written Consent of Consumer (May include Volunteers, Tenant Relationships, Business Relationships and other purposes as set forth in the FCRA)
Both
Do you need access to Employment Verifications? (site visit and additional documentation may be required - $85 one-time fee)
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Yes
No
Note: If both Credit Reports and Employment Verifications are needed, only one site visit and one $85 fee will be applicable.
Are you interested in Continuous Monitoring? (service cost $2 per name, per month)
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Yes
No
AUTHORIZED USER INFORMATION
Please tell us about the main contact on the account. This person will be the
Primary User.
If you would like additional people to have this access, please fill out the information below for
General Users.
Primary User:
Can edit account information, add/suspend users, view/print invoices, and order services. This person should have management level responsibilities. This person will be considered our main contact and be responsible for alerting SecureSearch to User changes.
Name
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First
Last
Title
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Email
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Phone
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Ext.
Cell Phone
If you are unavailable, whom else may we speak with on your behalf? (IE: Administrative Assistant, Associate etc.)
Name
Title
General User:
Can order services and review profiles. Can discuss profile information with SecureSearch representatives.
Name
First
Last
Title
Email
Phone
Ext.
Cell Phone
Name
First
Last
Title
Email
Phone
Ext.
Cell Phone
Name
First
Last
Title
Email
Phone
Ext.
Cell Phone
If you require custom levels of access for your users, please let us know, we are happy to accommodate you if possible. To add additional users, please contact us for additional forms.
How did you hear about us?
*
Please Select
Internet Search
Account Rep (Other)
Referral (Please let us know who referred you so that we may thank them.)
Bene-Marc/CC
Insurance Company (Please let us know the company or agent)
Safeguard from Abuse
Other - Please tell us more
Please let us know who referred you so that we may thank them
Has your organization been a client of SecureSearch™ in the past?
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Yes
No
Not sure
TERMS & CONDITIONS
WHEREAS, Customer plans to order from SecureSearch, certain services for employment purposes, which include Consumer Reports and Investigative Consumer Reports as defined under the federal Fair Credit Reporting Act (“FCRA”) (collectively, “Background Reports”);
WHEREAS, SecureSearch desires to sell such Background Reports to Customer.
NOW, THEREFORE, in consideration of the mutual covenants set forth in this Agreement, SecureSearch and Customer hereby agree as follows:
Customer agrees to do the following:
Keep all Background Reports, whether oral or written, strictly confidential and restrict the use of the information in the Background Reports by Customer and its authorized personnel to employment, placement and volunteer recruitment purposes. No information from Background Reports will be given or resold to any other “person” or “user”. Subject to Section 3(b), if the Consumer, or his or her representative, requests Background Report information, that person may be referred to SecureSearch for disclosure under the FCRA or other applicable laws.
Hold SecureSearch and its affiliated companies, and the officers, agents, employees, and independent contractors of SecureSearch and its affiliates harmless on account of any expense or damage resulting from the procurement, use or publication by Customer, or the employees or agents of the Customer, of Background Report information contrary to the terms of this Agreement or contrary to state/federal law or regulation.
Recognizing that information in Background Reports is secured from and processed by fallible sources (human and otherwise) and that for the fee charged, SecureSearch cannot be either an insurer or a guarantor of the accuracy of the information reported; Customer releases SecureSearch and its Affiliates and the officers, agents, employees, and independent contractors of SecureSearch and its Affiliates from liability for any negligence of third party furnishers of information in connection with erroneous information provided by such third parties.
Customer shall be responsible for all charges incurred, including applicable fees as well as charges resulting from Customer’s errors in inputting data, duplicate requests, and errors in transmission. Ten (10) days written notice is required to add or remove names from Continuous Monitoring services as service is billed monthly. Invoices are due and payable upon receipt and considered past due after twenty (20) days of date of invoice, and unpaid balances thereafter carry a $25 late fee and one percent (1%) compounded monthly interest. Customer shall review all invoices furnished and shall notify SecureSearch of any discrepancies within fifteen (15) days of receipt of the invoice. The fees for Background Reports exclude out of pocket expenses such as registry fees, school transcripts, court fees, state fees, and 900# fees to verify employment or education and fees for the Services exclude any applicable taxes.
SecureSearch may charge a $2.00 fee per applicant for requests submitted manually, i.e. by facsimile or mail.
SecureSearch reserves the right to revisit any Background Report fee if:
Regulatory changes result in an increase of the charges for services; or
SecureSearch’s average disbursement fees/out of pocket expenses should increase by more than ten percent (10%).
Customer shall comply with the Vermont Fair Credit Reporting Act, 9 V.S.A. § 2480e, by securing the written consent of the Consumer prior to ordering a consumer report on a Vermont resident.
If Customer purchases motor vehicle records (“MVRs”) from SecureSearch, Customer agrees to the following:
Comply with the federal Driver’s Privacy Protection Act and similar state statutes.
Customer shall not retain or store any SecureSearch provided MVR results, or portions of information contained therein, in any database or combine such information with data in any other database, provided that, Customer may keep a copy of a Consumer’s MVR in the Consumer’s personnel file.
As requested by SecureSearch, Customer shall complete any state forms that SecureSearch is legally or contractually bound to obtain from Customer before serving Customer with state MVRs.
With regard to SecureSearch provided MVRs originating from the states of New Hampshire, Pennsylvania, Washington, and West Virginia, Customer shall not disseminate or publish personal information contained in such MVRs via the Internet.
Customer shall not publish Virginia MVRs or any information derived from Virginia MVRs via e-mail. However, Customer may disseminate Virginia MVRs via the Internet through use of a secure Internet connection.
If Customer orders an MVR from the state of Alaska for any purpose, Customer shall obtain the written authorization of the Consumer before ordering such MVR.
If Customer orders any driver records originating from the State of South Carolina, Customer acknowledges, that the person identified in the driver records received from South Carolina are third party beneficiaries to SecureSearch’s Information Release Agreement with the South Carolina Department of Public Safety, Division of Motor Vehicles.
Prior to requesting any MVR from the State of Washington, Customer agrees (i) to obtain from the Consumer a written statement authorizing the release of the MVR and (ii) execute an attestation that the information in the MVR is necessary to determine whether the individual should be employed to operate a school bus or commercial vehicle upon public highways. SecureSearch will provide a copy of the required release and attestation to the Customer. Customer agrees to retain each release and attestation for a period of not less than two (2) years.
If Customer orders an MVR from the State of Virginia, Customer must retain the Consumer’s authorization for at least five (5) years after the date the MVR was requested.
With regard to MVR data originating from the state of West Virginia, Customer shall indemnify the state of West Virginia from any wrongful use of the MVR data.
Customer acknowledges that SecureSearch has provided the “Notice to Users of Consumer Reports”, attached hereto as Attachment A, which informs users of consumer reports of their legal obligations under the FCRA.
Notify SecureSearch if Customer changes its name or address.
Customer certifies that:
It shall order Consumer Reports for employment and volunteer recruitment purposes only. In compliance with the FCRA, prior to ordering a report, Customer shall make a clear and conspicuous disclosure in writing to the Consumer in a document that consists solely of the disclosure that a Consumer Report may be procured for employment or volunteer recruitment purposes. If the Consumer is a resident of the State of California, the disclosure shall also include the name, address and telephone number of the investigative consumer reporting agency conducting the investigation, the nature and scope of the investigation requested, and a summary of the provisions of §1786.22 of the California Code. Further, the Customer shall have the consumer authorize in writing the procurement of all Consumer Reports. Customer shall not use information contained in a Consumer Report in violation of any applicable federal or state equal employment opportunity law or regulation. The federal Fair Credit Reporting Act imposes criminal penalties – including a fine, up to two years in prison, or both – against anyone who knowingly and willfully obtains information on a consumer from a consumer reporting agency under false pretenses, and other penalties for anyone who obtains such consumer information without a permissible purpose.
If Customer chooses to take any adverse action based in whole or in part on the Consumer Report, before taking such adverse action, Customer shall provide the Consumer with a copy of the Consumer Report; and, a description in writing of the rights of consumers under the FCRA, as prescribed by the Federal Trade Commission under 15 U.S.C. §1681g(c)(3).
With regard to Investigative Consumer Reports, as defined in 15 U.S.C. §1681a(e), it will clearly and accurately disclose to the Consumer that an Investigative Consumer Report including information as to his character, general reputation, personal characteristics, and mode of living, whichever are applicable, may be made. The disclosure will be made in writing and mailed or otherwise delivered to the Consumer not later than three (3) days after the date on which the report was first requested and will include a summary of the Consumer’s rights provided for under 15 U.S.C. § 1681g(c). The disclosure shall also include a statement informing the Consumer of his/her right to submit a written request for additional information pursuant to 15 U.S.C. § 1681d(b), within a reasonable period of time after the receipt by him/her of the foregoing disclosure. Upon receipt of such request, Customer shall disclose in a writing the nature and scope of the investigation, which shall be complete and accurate. The disclosure must be mailed or otherwise delivered to the Consumer not later than five (5) days after the date on which the request for additional disclosure was received from the Consumer or the date the Customer first requested the report, whichever is the later. Customer shall also comply with the adverse action requirement in subsection b, if applicable.
Customer shall indemnify, defend, and hold harmless SecureSearch and its officers, directors, employees, successors, and assignees from any and all losses, liabilities damages and claims and all related costs and expenses including reasonable attorney fees, arising from or in connection with any negligence or breach of this Agreement by Client. SecureSearch shall not be liable to Customer or any third party for any alleged or actual losses resulting from any acts or omissions by Client or by a third party who provided information to SecureSearch in the exercise of its ordinary business practice. Customer is solely responsible for ensuring that all searches requested by Customer (and to be conducted by SecureSearch) are requested by Customer with appropriate authorization and for lawful and permissible purposes, pursuant to the Fair Credit Reporting Act, Fair Housing Act and any other applicable state or federal laws.
Customer Security Obligations:
Customer agrees to do the following in order to preserve the security of the Services being provided pursuant to this Agreement:
Misuse of Services or Information. Customer agrees to take appropriate measures so as to protect against the misuse and/or unauthorized access of SecureSearch’s Services through any methods, including unauthorized access through or to Customer’s user identification numbers or passwords (“Account ID’s”), if provided. Such misuse or unauthorized access shall include any disclosure, release, viewing, or other unauthorized access to information such as social security numbers, driver’s license numbers, or dates of birth. Customer agrees that SecureSearch may temporarily suspend Customer’s access for up to ten (10) business days pending an investigation of Customers use or access. Customer agrees to cooperate fully with any and all investigations. If any misuse or unauthorized access is found, SecureSearch may immediately terminate this Agreement without notice or liability of any kind.
Customer Account Maintenance. Customer is responsible for the administration and control of Account ID’s by its employees and third parties, and shall identify a security administrator to coordinate with SecureSearch. Customer shall manage all Account ID’s, and notify SecureSearch promptly if any Account ID becomes inactive or invalid. Customer shall follow the policies and procedures of SecureSearch with respect to account maintenance as same may be communicated to Customer from time to time.
Security Event. In the event that Customer learns or has reason to believe that SecureSearch data has been disclosed or accessed by an unauthorized party, Customer will immediately give notice of such event to SecureSearch. Furthermore, in the event that Customer has access to or acquires individually identifiable information (e.g., social security numbers, driver’s license numbers or dates of birth) in relation to the Agreement, the following shall apply: Customer acknowledges that upon unauthorized acquisition of such individually identifiable information (a "Security Event"), Customer shall, in compliance with law, notify the individuals whose information was disclosed that a Security Event has occurred. Also, Customer shall be responsible for any other legal obligations which may arise under applicable law in connection with such a Security Event.
In providing Background Reports, SecureSearch agrees to do the following:
Comply with all laws applicable to the making of Background Reports for employment and volunteer recruitment purposes, including the FCRA.
Follow reasonable procedures to assure maximum possible accuracy of the information reported, subject to Paragraph 1(c) above, and reinvestigate if requested by the Customer without further charge if the information was incorrect.
Disclose, upon request from the consumer who is the subject of the Background Report (the “Consumer”), the information reported, reinvestigate any information disputed by the Consumer at no charge to the Customer and take any necessary corrective action with the Consumer and the Customer.
Miscellaneous:
This Agreement shall be effective as of the date it is executed on behalf of Customer by an authorized representative of Customer and shall be at will and may be cancelled at any time. There are no recurring fees.
Each party (and its employees) is and shall remain an independent contractor. Neither party is authorized to assume or create an obligation or responsibility, express or implied, on behalf of, or in the name of, the other party or to bind the other party in any manner.
SecureSearch shall have the right to conduct periodic audits of Customer’s compliance with this Agreement and applicable law. In addition, certain third-party vendors, such as departments of motor vehicles and credit bureaus, require the right to audit Customer either directly or through SecureSearch. The scope and frequency of any audit shall be at the reasonable discretion of SecureSearch but will be subject to requirements imposed by third party vendors.
SecureSearch will provide reasonable notice prior to conducting any audit provided that SecureSearch has received reasonable notice from any third-party vendor involved in the audit process. Any violations discovered as a result of such audit may be cause for immediate action by SecureSearch, including, but not limited to, immediate termination of this Agreement.
SecureSearch shall have the right to reveal the existence of this Agreement and the terms or conditions thereof in any SecureSearch publication, advertising, publicity release, or sales presentation regardless of the medium.
Colorado and federal law will govern this Agreement. The invalidity or unenforceability of any one provision of this Agreement shall not impair the validity and enforceability of the remaining provisions. Any legal disputes will be handled via mediation in the State of Colorado.
The obligation of either party to perform under this Agreement shall be excused during each period of delay caused by matters beyond such party’s reasonable control, including without limitation, government regulation or law, war or insurrection, civil commotion, destruction of production facilities or material by earthquake, fire, flood, storm or other natural disaster, labor disturbances, epidemic or failure of suppliers, public utilities or common carriers.
This Agreement shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns, provided, however, that neither party shall assign or otherwise transfer this Agreement or any interest herein without the prior written consent of the other party, which consent shall not be unreasonably withheld.
The failure of either party to insist on prompt performance of their duties shall not constitute a waiver of that duty. Any such waivers must be provided in a written, executed document.
This Agreement and any attachments hereto constitute the entire agreement between the parties and supersede all prior understanding, written or oral between the parties with respect to the subject matter hereof. No changes or alterations may be made to this Agreement unless in writing signed by duly authorized representatives of each party to this Agreement.
By signing this Agreement, Customer agrees that SecureSearch can communicate with Customer via facsimile and electronic mail. I hereby certify that I have direct knowledge of the facts stated above and that I am authorized to execute this Agreement on behalf of the company listed above.
If Customer desires to have access to credit reports, Customer must sign a separate document certifying the business need to access credit reports.
Customer must also agree to a physical site visit of the premises. The cost for the site visit is $85.00 US.
If Customer has executed Continuous Monitoring agreement, Customer is responsible for providing SecureSearch with a list of employee names and DOB’s that Customer would like to include in the Continuous Monitoring program. Customer must notify SecureSearch in writing at least ten (10) days prior to the next billing cycle if removing or adding any names from their Continuous Monitoring Roster. Due to billing cutoff dates, there are no exceptions to the 10 days. The cost of Continuous Monitoring is $2.00 per name, per month (or as quoted) and is billed as a line item or as a separate invoice. Customer is responsible for following all State and Federal laws and guidelines as to the handling of utilizing data provided by our Continuous Monitoring. Results may be available to Customer outside of the SecureSearch standard system.
Customer acknowledges that if they choose to run an “instant” database search without an internal SecureSearch review (can take 1 business day) then said Customer is taking responsibility for the information returned and agrees to do additional due diligence prior to taking any Adverse Action against applicant. Additional due diligence may include verifying the record truly belongs to the applicant, ordering county courthouse searches or equivalent to determine if the conviction is accurate. No unverified record will be used for Adverse Action. Please inform SecureSearch if Customers wants all flagged profiles to be reviewed. There is an additional charge for compliance reviews.
Applicant Pay (APay) Customer accounts are subject to the following:
Higher service cost
Customer will be responsible, and will be invoiced, for all costs relating to disputed background check costs and fees incurred by SecureSearch.
Pricing:
Pricing depends on the level of due diligence you wish to apply to your background screenings. Please contact our Client Advocate team at 866.891.1954 Option 1 for pricing details.
Sample Forms:
I understand that SecureSearch may provide “Sample” Documents (i.e. Authorization and Disclosure, Adverse Action, etc.) from time to time, and I agree that our company may not use them “As Is” without review by legal counsel. I further agree that any forms that are used in practice will be provided by Customer.
Customer agrees to the Agreement For Service
*
Yes
No
Additional Instructions or Comments (i.e. preferred services, Applicant Pay (APay) Account, etc.)
By submitting this application, I hereby certify that I have direct knowledge of the facts stated above and that I am authorized to execute this Agreement on behalf of the Customer listed above
Your Name
*
Title
*
Organization
*
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