Product & Service Forms
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FOR ALL SAMPLE FORMS: Please consult with your legal counsel regarding the proper use of these forms.
- Disclosure Form - Consumer Report
- Disclosure Form - Consumer Report - Spanish
- Disclosure Form - Investigative Consumer Report (Suggested Use: Verification of Employment, Education or References)
- Disclosure Form - Investigative Consumer Report - Spanish
- Disclosure Regarding Background Checks Per California Law (Suggested Use: In conjunction with above Disclosures as applicable for those operating or hiring from California)
Acknowledgment & Authorization Forms
| Basic Acknowledgment & Authorization Forms | State & Local Specific Acknowledgment & Authorization Forms |
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Preliminary Adverse Action Letters —
Choose the appropriate Pre-Adverse Action Letter
| Basic Pre-Adverse Action Letter | State & Local Specific Pre-Adverse Action Letters |
Post Adverse Action Letters — Choose the
appropriate Adverse Action Letter
| Basic Adverse Action Letter | State & Local Specific Adverse Action Letters |
FCRA Compliance Forms
Consent-Based SSN Verification (CBSV)
- Consent Based SSN Verification (CBSV)
- Consent Based SSN Verification (CBSV) - Spanish Version
- CBSV Addendum to Service Agreement
- CBSV Printed Signature Acknowledgment
- CBSV Form SSA-89 Instructions
Pre-Employment Screening Credit Reports
To order credit products for Pre-Employment Screening, please complete the following forms:
- Membership Application
- PEER Service Agreement
- Letter of Intent
- Verification Authorization
- Membership Profile Form (Updates Only)
Tenant Screening Credit Reports
To order credit products for Pre-Tenant or Franchisee Screening, please complete the following forms:
- Membership Application
- CREDIT Service Agreement
- Letter of Intent
- Verification Authorization
- Membership Profile Form (Updates Only)
EVAL (Electronic Validation of Applicant Legitimacy)
I-9 / E-Verify
Medical Fraud & Abuse Information
International Searches
International searches must be submitted via Perform A Search → IntelliSearch Global from the menu bar on your account. Please contact Client Services with any questions which may be reached by phone at: (888) 946-8355 or (216) 450-5300 or via e-mail at customerservice@intellicorp.net. The below forms can be provided to the candidate to fill out and return to you to make the submission process easier. Please note these are inclusive and do not include all required fields that may be required by a specific country.
- International Criminal Search Request Form
- International Education Verification Search Request Form
- International Employment Verification Search Request Form
Motor Vehicle Records
To order Motor Vehicle Reports from the following states, you must file a state agreement. Click on any of the state links below to access the forms you need.
Certain states have rules in place related to the use of electronic signatures as part of Disclosure to and obtaining Authorization from the consumer when ordering Motor Vehicle Reports. Click here for an overview of which states may have requirements related to “wet” signatures when ordering Motor Vehicle Reports.
Please contact our Client Success Team between the hours of 8:00 AM and 6:00 PM ET for general questions regarding motor vehicle record access via phone (888-946-8355) or email (customerservice@intellicorp.net).
MVR State Specific Releases*
Washington — Driving Record Release of Interest
*Washington State Release retained by your company after obtaining driver’s consent. Unless requested, do not send to IntelliCorp.
Puerto Rico Authorization Release of Driving Record
*Puerto Rico Authorization Release must be submitted to IntelliCorp via MVR Compliance.
Service Agreements
- Medical Fraud and Abuse Information Service Agreement
- Non-FCRA Permissible Purpose Access Service Agreement
- IntelliCorp Service Agreement
- Non-Disclosure Agreement
Account Information Change Form
Other Documentation