Gap Coverage Request (GCR) Form

Why is Gap Coverage Important? Background checks that rely on national databases, like our Multi-State Criminal Search, often miss some critical data due to reporting inconsistencies across states and counties. Many regions do not provide comprehensive data on criminal records, leaving gaps in information. Additionally, federal convictions are not included in national databases. To ensure that no relevant information about an applicant is overlooked, we recommend thorough and customized checks based on your applicants' history.

What Does This Mean for You? While the Multi-State Criminal Database provides a broad scope, it’s crucial to supplement this search with county and federal checks. For the most accurate results, SecureSearch recommends additional searches based on the applicant’s address history and known aliases over the past seven years. These can include: County courthouse or statewide repository checks for known addresses Federal criminal record searches for all known names.

How SecureSearch Enhances Your Due Diligence Using address history and names identified in the initial database search, SecureSearch will perform additional searches based on the options you select. IMPORTANT: Each selected search incurs additional costs. For EACH name and EACH search type selected (county, state, or federal), you will be charged additional fees. These are separate from the initial Multi-State Criminal Database Search and include applicable service and court access charges where necessary.

IMPORTANT - PLEASE READ: By choosing any of the following options, you acknowledge that additional fees will be incurred for EACH name and EACH service (county, state, or federal) SecureSearch orders on your behalf above and beyond the Multi-State Criminal Database Search. These costs are separate from the initial database search fee and include additional service charges and court access surcharges*, *only when applicable. SecureSearch Pricing for Services County Courts with Surcharge Fees Statewide Criminal Repository Surcharges

Please choose your Gap Coverage options below: Choose the level of thoroughness that suits your organization’s needs. Remember, each option carries an additional cost for every name and search type you select.

County or Statewide Search Options

Options:*

Option 1 (BEST PRACTICE): SecureSearch will add ALL county and/or statewide searches within the past 7 years of address history, including ALL Alias names

Option 2: SecureSearch will add ALL "non-reporting" county and/or statewide searches within the past 7 years of address history, including ALL Alias names

Option 3: SecureSearch will add up to 2 "non-reporting" county and/or statewide searches of longest residence within the past 7 years of address history, this may be an Alias name

Option 4: SecureSearch will add 1 county or statewide search of longest residence within the past 7 years of address history, this may be an Alias name

Option 5: SecureSearch will add 1 "non-reporting" county or statewide search of longest residence within the past 7 years of address history, this may be an Alias name

Option 6: Do not order this service

Optional SURCHARGE Cap Limit (only available with Options 3, 4, & 5)
We would like to cap SURCHARGES (i.e. Surcharge cap of $30.00 per applicant) We fully understand that this cap may mean not ordering searches that may reveal a criminal record. Note: Not all county and state jurisdictions have surcharges. For the county and state jurisdictions that have surcharges the cost ranges from $0.80 - $98.00(NY).

Surcharge Cap Amount (Optional Cap limit for Options 3, 4,or 5 and if you selected to place a Cap limit on surcharges imposed by some counties or some states)
Please enter the dollar amount you would select as a CAP on court search surcharges per service

Federal Court Search Options (Child Pornography, Human Trafficking, Internet Crimes Against Children (Online Exploitation, Solicitation), Cybercrime, Internet Hacking, Data Breaches, Fraud (Wire Fraud, Mail Fraud, Bank Fraud), Identity Theft, Embezzlement, Crimes Involving Transportation of Illegal Goods or Persons Across State Lines, Interstate Domestic Violence, Drug Trafficking and more)

Options:*

Option 1 (BEST PRACTICE): SecureSearch will add ALL names within the past 7 years of address history

Option 2: SecureSearch will search current name entered

Option 3: Do not order this service

Authorization Statement*
I acknowledge the limitations of database-only searches and understand that a more comprehensive approach may be necessary for thorough coverage. If our organization has opted to add additional due diligence services, I authorize SecureSearch personnel to follow the guidelines described above, adding any required services to orders placed by me or any authorized users on our SecureSearch account. I understand that these additional services will incur extra fees, including potential court access surcharges. I agree to pay all related charges as outlined in this addendum to our Master Agreement for Services. The Gap Coverage Request (GCR) form may be modified or discontinued with prior written notice.

Organization Name:*

City*

State*

Authorized By:*

Email:*

Date*
MM slash DD slash YYYY

Information contained within this document is specific to SecureSearch. Please contact SecureSearch with any questions you have. Phone: 866-891-1954 Email: Support@SecureSearchPro.com

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