Please tell us about yourself:

Name and Title:

Firm or Company:

Address:


City:

State:

Zip:

E-mail address:

Telephone number:

Fax number:

Referred by:

Client reference number, if any:

STEP TWO

What kind of search(es) did you want Bearak Reports to perform? These searches are described on the Background Check Services and Fees page.

SecureView ExpresSearch Criminal Offender Federal Criminal Record Federal District Criminal Record State Criminal Record County Criminal Record Sex Offender State Driving Record Education Verification Employment Credit Report Employment Verification Professional License Address Verification Phone Number Verification Social Security Number Verification

SecureView ExpresSearch Plus Basic Express Gold Express Ultima Express   SecureView Select Federal District Criminal Record State Criminal Record County Court Record Driving Record Worker's Compensation Records

STEP THREE

Do you want expedited service (we will add a 20% expediting fee)?

Yes
No 

STEP FOUR

Please tell us all you know about the subject of the search:

Name or Entity:

SS or Federal ID #:

DOB or Date of Incorporation:

Current or Last Known Address:


City:

State:

Zip:

Telephone number:

Alternative address or contact information:

Comments:
 

STEP FIVE

Before proceding further, please PRINT this page. We suggest that you print an additional copy for your own records. 

STEP SIX

At this point, you may submit the information above electronically so we can start working on your request.

STEP SEVEN

The information below should be filled out by hand on a printed copy and mailed or faxed to:

Bearak Reports
1257 Worcester Road
Suite 308
Framingham, MA 01701
Fax: (508) 788-6642