Enroll Get Started with TEAM Background Thank you for choosing TEAM to help manage your background screening program! Complete this form and a member of our Implementation TEAM will be in contact within 24 hours. NOTE: There is a $150 initial setup fee that will be due at the end of this form. We look forward to serving as your partner in employment eligibility! "*" indicates required fields Step 1 of 5 - Company Information 20% Company InformationLegal Company Name* Doing Business As Main Company 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. 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 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 Can this user receive background check reports?* Yes No PackagesTo 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*USDOT NumberWhat is a USDOT Number?Please provide your company's USDOT Number as issued by the FMCSA, if applicable. 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 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* Month Day Year Service 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