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Account Registration
 
Complete the following form to register for access to H2 Workforce Pre-Employment Screening services.
Register for free, with no obligation to buy.
Organization:
Referral Code:   
*Company Name:     
Mailing Address:
*Mailing Address:     
      
Country:  
*City:     
*State:    
*Zip:     
Billing Address:
Same As Mailing Address
*Billing Address:     
      
Country:  
*City:     
* State:    
*Zip:     
Company Information:
*Telephone:    [(999)-999-9999 format]
*Federal TaxID Number:     
*Employee Count:    (Total Number of employees in the company)
*Industry:  
Account Administrator (This is the account primary user who has access to all features)
*First Name:   
*Last Name:   
*Email Address / Login:   
*Verify Email Address / Login:   
*Password:     (Minimum 7 chars)
*Verify Password:   
*Contact Telephone:    [(999)-999-9999 format]
If you plan to use Background Check and Drug Screening services, please complete the next section. If not, skip to the bottom and click Submit.
Yes, I'd like to enable background check functionality.
Background Check Information
Background Check Information
*Company Name:     
Parent Company Name:    (if applicable)
Other Trade or DBA Names:    (if applicable)
*Business Name Your Company listed with Directory Assistance :   
*Business Telephone Your Company listed with Directory Assistance :    [(999)-999-9999 format]
*Fax Number:    [(999)-999-9999 format]
Physical Address:
Same as Mailing Address above.
*Street Address:    (No Post Office Boxes)
      
*City:   
*State:  
*Zip:   
Additional Company Information:
*Business Description:    (500 words max)
SIC Code :    (format 9999.CLICK FOR HELP)
State ID Number:     
*Business Structure:    
*Date Formed:     (format mm/dd/yyyy)
*State of Formation:    
Dunn & Brad Street Number:     
Internet Address:     
   
Background Check Administrative User:
Same as Administrative User above.
Screening Administrator (This is the account primary user who has access to all Background Check and Drug Screening features)
*First Name:   
*Last Name:   
*Email Address / Login:   
*Verify Email Address / Login:   
*Password:   (Minimum 7 chars)
*Verify Password:   
*Contact Telephone:   
Drug Screening  
Yes, I'd like to use Drug Screening services.
Motor Vehicle Reports  
Yes, I would like to use Motor Vehicle Report services.
I9 Service
Yes, I'd like to sign up for I9 processing.
Enter a User ID for the I9 System:   
Enter Password for the I9 System:     
Note: Must be at least 8 characters and at least one Capital letter, one Lower Case letter, one Number and one Character(e.g. #,%,!)
Note: Clients using the I9 service will be billed seperately for I9 services.
Use of Information:  
I will screen applicants/employees for my company only.  
 
REQUIRED:Print and Sign the  Service Agreement  and the  Administrator Agreement.
Fax both agreements along with the Fax Cover Sheet to 440.992.8491
Click here to review our Privacy Policy.
*Name of Person Completing Form:   
*Title of Person Completing Form:   
Note this form must be completed by an officer of the company or other individual authorized to enter into legal contract on behalf of your company.
 
REQUIRED: I have read and agree with the Terms described in the Service Agreement and Privacy Policy. I understand I must provide the required documentation listed on the Fax Cover Sheet before my application will be processed.  
   
Motor Vehicle Report-Site Visit Payment
You have selected the Motor Vehicle Report option on the account registration form. Approval for Motor Vehicle Reports includes an onsite visit at your location by a Background Check specialist. A fee is charged for this visit . A Background Check Specialist will contact you to schedule a site visit within 48 hours of payment.
Please complete the payment form below to finish your registration or select 'Remove MRV Option' to finish the registration process without the MVR option.
*Name On Card:   
*Credit Card Number:   
*Credit Card Verification Code:   
*Card Type:  
*Expiration Date:    
* Required field
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