Enroll Get Started with TEAM Thank you for choosing TEAM to help manage your employee screening program! Complete this form and a member of our Implementation TEAM will be in contact within 24 hours. NOTE: The Annual Membership Fee is $350. The first year’s membership fee will be due at the end of this form. We look forward to serving as your partner in workplace compliance! "*" indicates required fields Step 1 of 8 - Getting Started 12% You will need the following information to complete this form: Company Information Employee Information Download .XLS Template Statistical Data (if you’ve completed random testing during the current year) Download .XLS Template (Non-DOT Stat Data) Download .XLS Template (PHMSA Stat Data) Download .XLS Template (FMCSA Stat Data) Company InformationLegal Company Name* Doing Business As Phone Number*Physical Address*Note: a P.O. Box is NOT acceptable for a physical address. Please enter your P.O. Box under the next question for Mailing Address. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is your Mailing Address different from your Physical Address?* Yes No Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Industry*Select all that apply.Accounting/FinanceAdvertising/Public RelationsAerospace/AviationArts/Entertainment/PublishingAutomotiveBanking/MortgageBusiness DevelopmentBusiness OpportunityClerical/AdministrativeConstruction/FacilitiesConsumer GoodsCustomer ServiceEducation/TrainingEnergy/UtilitiesEngineeringGovernment/MilitaryGreenHealthcareHospitality/TravelHuman ResourcesInstallation/MaintenanceInsuranceInternetJob Search AidsLaw Enforcement/SecurityLegalManagement/ExecutiveManufacturing/OperationsMarketingNon-Profit/VolunteerPharmaceutical/BiotechProfessional ServicesQA/Quality ControlReal EstateRestaurant/Food ServiceRetailSalesScience/ResearchSkilled LaborTechnologyTelecommunicationsTransportation/LogisticsOtherNorth American Industrial Classification (NAICS)If known, select one from the below 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Checks Performed Annually*Please provide an estimate of how many background checks your company anticipates performing per year.Please enter a number greater than or equal to 1.Operators & Hiring ClientsDo you contract for any Operator clients that require drug and alcohol testing?* Yes No STOP If the Operator(s) you contract for requires you to be enrolled in TPS Alert, do NOT complete this form. New to TPS Alert? If your company is not currently enrolled in TPS Alert, go to tpsalert.com/signup to begin your enrollment. You will be prompted to choose TEAM as your company’s TPA, and our Implementation TEAM will reach out to you for more details. Enroll Now Already have an account? If your company has an active account in TPS Alert, notify [email protected] that you would like to begin using TEAM as your company’s TPA, and our Implementation TEAM will reach out to you for more details. [email protected] If yes, please specify:*If you answered "Yes" to the above question, but are not required to be enrolled in TPS Alert, please list the Operator clients you contract for.Clinic LocationsPrimary Clinic Location*Please list your company’s primary location where you will need a collection facility set up to perform testing for your employees. Same as Physical Address City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Specific Clinic RequestsIf you'd like to request additional locations for testing and/or any specific clinic(s), please list each site's information below. If no specific clinic is listed, TEAM will set you up with one of our preferred collection sites in the area(s) you specify.Clinic NameCityStateZip Add Remove Contact DetailsPrimary Contact The information provided will be used to create the Primary User for your account.Primary Contact Full Name* First Last Suffix Primary Contact Phone Number*Primary Contact Email Address*Please enter a valid email address where you can receive important communication from TEAM regarding your account. This will also be your username when logging in to our online platforms. Enter Email Confirm Email Can this user receive background check reports?* Yes No Is this also the primary Billing Contact for your account?* Yes No Billing ContactBilling Contact Full Name* First Last Suffix Billing Contact Email Address*Please enter a valid billing email address. Enter Email Confirm Email Do you have any additional users that should be granted access to your account? Yes No Secondary Contact The information provided will be used to create a Secondary User for your account.Secondary Contact Full Name* First Last Suffix Secondary Contact Phone Number*Secondary Contact Email Address*Please enter a valid email address where the user can receive important communication from TEAM regarding your account. This will also be their username when logging in to our online platforms. Enter Email Confirm Email Secondary Contact Permission Level* Secondary DER (backup MRO contact) Admin Full Access Results Only Scheduling Only Randoms Only Other Can this user receive background check reports?* Yes No Add another?* Yes No Third Contact The information provided will be used to create a Third User for your account.Third Contact Full Name* First Last Suffix Third Contact Phone Number*Third Contact Email Address*Please enter a valid email address where the user can receive important communication from TEAM regarding your account. This will also be their username when logging in to our online platforms. Enter Email Confirm Email Third Contact Permission Level* Third DER (backup MRO contact) Admin Full Access Results Only Scheduling Only Randoms Only Other Can this user receive background check reports?* Yes No Employee InformationEmployee Roster*Please provide your employee roster by uploading the template or manually entering the employees’ information. Be sure to include all employees in your company that need to be subject to random drug and alcohol testing. Upload Roster File Manually Enter Roster Download .XLS TemplateUpload Roster File*Accepted file types: xls, xlsx, csv, Max. file size: 256 MB.Manually Enter Roster*First NameLast NameSuffixEmployee IDClassificationHas the Employee had a Pre-Employment Drug Test?Has the employee been subject to random testing in the past 30 days? Non-DOTFMCSAPHMSAOtherYesNoYesNo Add RemoveHave all of your employees completed a pre-employment drug test?* Yes No In the past 30 days, have your DOT employees completed a pre-employment drug test or been subject to random testing?*Per DOT regulation, if an employee has not been subject to random testing or had a pre-employment drug screen in the past 30 days, they will have to complete a pre-employment drug test before they can be added to a random drug testing pool or consortium. If your employees will need to complete pre-employment drug tests, these can be processed through TEAM once your account setup is complete. Yes. All of my DOT employees have had a pre-employment drug test in the past 30 days. Yes. All of my DOT employees have been subject to random testing in the past 30 days. No. My DOT employees have not had a pre-employment drug test in the past 30 days, nor have they been subject to random testing in the past 30 days. I do not have DOT employees USDOT NumberWhat is a USDOT Number?Please provide your company's USDOT Number as issued by the FMCSA, if applicable.Have you completed any random testing for the current year?* Yes No If you’ve completed non-DOT random testing this year, download the below template to provide your non-DOT statistical data.Download .XLS TemplateAccepted file types: xls, xlsx, csv, Max. file size: 256 MB.If you’ve completed FMCSA random testing this year, download the below template to provide your FMCSA statistical data.Download .XLS TemplateAccepted file types: xls, xlsx, csv, Max. file size: 256 MB.If you’ve completed PHMSA random testing this year, download the below template to provide your PHMSA statistical data.Download .XLS TemplateAccepted file types: xls, xlsx, csv, Max. file size: 256 MB. Background ServicesTo view a full list of our Background Screening services and pricing, click here.Standard Packages Silver Background Package• Nationwide Criminal & Sex Offender Registry Database Search• Social Security (SSN) Trace• Single County Criminal Record Search (Current County of Residence) Platinum Background Package Recommended• Nationwide Criminal & Sex Offender Registry Database Search• Social Security (SSN) Trace• 7-Year County Criminal Record Search FMCSA Packages Silver FMCSA Background Package (Minimum FMCSA Requirements)• Motor Vehicle Record (MVR)• 3-Year DOT Employment Verification• FMCSA Clearinghouse Full Query Platinum FMCSA Background Package• Motor Vehicle Record (MVR)• 3-Year DOT Employment Verification• FMCSA Clearinghouse Full Query• Nationwide Criminal & Sex Offender Registry Database Search• Social Security (SSN) Trace• 7-Year County Criminal Record Search PHMSA Packages Silver PHMSA Background Package• Motor Vehicle Record (MVR)• 2-Year DOT Employment Verification Platinum PHMSA Background Package• Motor Vehicle Record (MVR)• 2-Year DOT Employment Verification• Nationwide Criminal & Sex Offender Registry Database Search• Social Security (SSN) Trace• 7-Year County Criminal Record Search Custom Package Custom Package If selecting this option, a member of our Implementation TEAM will reach out to you to configure a custom package for your account.à La Carte ServicesChoose any "à la carte" options you would like to order in addition to the above package(s). Employment Verification Education Verification Professional Reference Verification Personal Reference Verification E-Verify Search(Electronic I-9 Verification Capture available for an additional $10 per case) Motor Vehicle Record (MVR) FMCSA Clearinghouse Limited Queries Other Select AllPlease specify additional services* Additional ServicesWould you like TEAM to manage occupational services for you?* Yes No Please select which services you would like TEAM to manage* DOT Physicals Pre-Placement/Pre-Employment Physicals (non-DOT) Pulmonary Function Tests (PFT) Audiogram Respirator Fit Testing TB Testing X-Rays Vision Testing Other Select AllPlease specify additional services* Would you like to enroll your supervisors in TEAM’s self-paced, webinar reasonable suspicion training?*$49/registrant. Note: Per DOT regulation, all persons designated to supervise drivers of commercial motor vehicles are required to complete a Reasonable Suspicion training course (49 CFR §382.603). Yes No Please list your supervisors' information and select a training courseFirst NameLast NamePhoneEmailTraining Course DOT Reasonable Suspicion Training for Supervisors ($49/Supervisor)Non-DOT Reasonable Suspicion Training for Supervisors ($49/Supervisor) Add Remove How did you hear about TEAM?* Google Search Social Media Marketing Email Advertisement Conference or Tradeshow Contacted by Salesperson Referral Existing Customer Other Referral Details*Please list the name of the TEAM Salesperson, company, or other individual that referred you. If you selected "Conference or Tradeshow", list the name of the event. You can also use this field to provide details if you selected "Other". Billing InformationOne-Time Enrollment Fee* Price: Promo Code HiddenCoupon Code*OLD FIELD - Hidden to keep entires* Amount Due Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Exp. Month010203040506070809101112 Year Exp. Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Confirmation* I confirm that all information provided in this form is true, complete and accurate to the best of my knowledge. Name* First Last Suffix Today's Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Service AgreementIn order to receive background screening services from TEAM Background, LLC, the primary user for your company's account must review, accept, and sign our Service Agreement. After you submit this form, you will receive an email from [email protected] with a link to sign and submit the agreement online. To ensure you receive this email, please add us to your address book.CAPTCHA Δ