CRIMINAL RECORDS

CrimCheck Inc.	A NATIONWIDE SCREENING SERVICE
	*"Timely information saves, rather than costs."- SM***

Criminal checks cover the last seven years. If you need data from earlier years please specify
this on your order form. There is an additional charge for searching back more than seven years.

METRO AREA CRIMINAL RECORDS

Just tell us the Metro Area (City Area) you wish to search and we will identify and search the adjoining
counties for you. If you select which counties you wish to access, the counties must be adjoining Counties.

METRO/CITY
HOME
STATE
__________
Most States
CA
*NY ANY
2
COUNTIES
______
$29
$49
$69 ANY
3
COUNTIES
______
$39
$65
$98 ANY
4
COUNTIES
______
$49
$78
$125 ANY
5
COUNTIES
______
$59
$90
$156 APPROX.
TURNAROUND
TIME
______________
1 - 4 days
1 - 4 days
3 - 4 days

All listed turnaround times are honest estimates of the WORKING days required to process a report. Some may take longer, some may be returned earlier.If the subject has a criminal record the time may be extended in order to manually check the records to verify the subjects
identity.

CrimCheck
Secure Order Form
When you have completed the order form please press the submit button at
the bottom of the page. The information will be scrambled and transmitted to Crimcheck.

There are two ways to order from Crimcheck :

By Secure Form - Fill out the form below and press the submit button. (Your Credit Card Number
will be encrypted prior to transmitting. Internet orders are accepted seven days a week.)

By FAX - Fill out the form below, print it out on your printer, FAX it to 1-866-837-4737.
(Orders accepted seven days a week)
.

YOUR NAME: (Required)

COMPANY:

ADDRESS: (Required)

CITY, STATE, ZIP: (Required)

WORKING DAYTIME TELEPHONE NUMBER: (Required)

FAX NUMBER:

EXACT E-MAIL ADDRESS:
Results will be returned by Email unless another method is requested.

Click Here > if you would like information on opening a Business Account.

INFORMATION ON SUBJECT(S)
Please enter one or more of the subjects names, and personal information. All fields will expand to hold the information.

(We must have a full NAME, SSN and DOB to properly process a search.)

Order #	........ FULL NAME	.......... ADDRESS	........ CITY, STATE, ZIP	........SSN	.... DOB
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REMARKS BOX:
Please give additional details,or, specify any requests that were not listed:

If you already have an account established, click here >
and proceed directly to"SUBMIT FORM".

If you do not have an established account, please complete the following:

How do you wish to pay?

If using a Credit Card, Please submit the following information:
(Your Credit Card number will be scrambled before transmitting.)

Name of Person on Card:

Credit Card Type: {Select
Expiration Date: Month Year {Select Both

Credit Card Number:
- -
-
(Leave last box blank if using American Express.)

YOUR NAME: (Required)
COMPANY:
ADDRESS: (Required)
CITY, STATE, ZIP: (Required)
WORKING DAYTIME TELEPHONE NUMBER: (Required)
FAX NUMBER:
EXACT E-MAIL ADDRESS: Results will be returned by Email unless another method is requested.
Click Here > if you would like information on opening a Business Account.