Background Check Request Form

Name: Background Check Request Form
SKU: BGCHECK
Availability: InStock

$0.00 – $19.99

To be eligible to use our tax software, ALL preparers are required to do a 2021 background check. We use a 3rd party company by the name of Clear Checks to do the check.

Specifically, we are looking for financial, tax and/or insurance fraud. Writing bad checks, unless perpetual, will not disqualify you.

It is required to complete all questions below to be eligible to defer your background check fee. Do not skip a question, please.

Select An Option

Clear

What is Your Position Title? *

Affiliate Owner (AO)

Affiliate Individual (AI)

I'm Not Sure

Were You Hired By an Affiliate Owner? *

Yes

No

Not Sure

What is the Name of Your Affiliate Owner? *

Date of Birth *

Enter format mm/dd/yyyy

Social Security Number *

State You Reside *

Drivers License Number *

Drivers License State *

County you live in Now (NOT COUNTRY) *

County #2 you lived in right before (NOT COUNTRY) *

County you lived in before that (NOT COUNTRY) *

Upload the front of your state issued ID *

Upload the back of your state issued ID *

Please check the box if you agree with the statement below. *

I am agreeing that AffordaTax Biz-in-a-Box, Inc. can use the pertinent information I inputted in this form for the purpose of running my background check. I understand they are specifically looking for an indication I may have committed financial, tax or insurance fraud within the last decade.

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