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First Name:  
Last Name:  
Company Name:    
Email:  
                     
Do you currently screen your employees? Yes No      
Do you currently test your employees for drug use? Yes No      
How many employees do you hire monthly?      
                     
Products and Services    
                     
Employment Screening Products        Drug Testing
Credit History 10 Panel Drug Test
Statewide Criminal History 10 Panel Drug Test+Alcohol
Education Verification 5 Panel Drug Test (DOT)
Motor Vehicle Record Multi- Panel Hair Drug Test
Nationwide Criminal Database Search        Instant Result Products
FACIS Multi- Panel Drug Test Cups
Previous Employment Verification Multi- Panel Drug Test Swabs
I-9 Verification Alcohol Test Swabs
Wants & Warrants                
Social Security Search                
Country Criminal History                
Nationwide Sex Offender                
Worker's Compensation Record                
                     
Please include any special requests, comments, or questions:

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ECOA codes

When Speed Accuracy and Value Matters

ECOA codes

ECOA Codes Description
A Authorized User - This individual is an authorized user of this account; another individual has contractual responsibility
C Joint Account Contractual Responsibility - This individual is contractually obligated to repay all debts arising on this account. There are other people associated with this account who may or may not have contractual responsibility.
I Individual - This individual has contractual responsibility for this account and is primarily responsible for its payment
M Maker (signer) - This individual is responsible for this account, which is guaranteed by a Co-maker (cosigner)
P Shared Account - This individual participates in this account. The association cannot be distinguished between ECOA I or J
S coSigner - This individual has guaranteed this account and assumes responsibility should signer default
T Terminated - Account is terminated
U Undesignated - This is reported by the Bureau only
X Deceased - the subject is on record as being dead.