Background Check Request Form
Store Information
Store Email
*
Confirmation Email
Enter twice to confirm email is correct.
Store Requesting Background Check
*
Please Select
887
4665
5215
6317
6998
12315
12811
19642
22306
24054
25366
29632
30545
30670
33917
37412
38881
Manager Requesting Background Check
*
First Name
Last Name
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Employee Information
Full Legal Name
*
First Name (as it appears on their driver's license)
Last Name
Has the job offer been accepted in McHire?
*
Yes
No
Middle Name
Enter 'n/a' if they do not have one
Address
Street Address
Apt. # or PO Box
City
State / Province
Postal / Zip Code
Birthdate
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Month
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Day
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Year
Social Security Number
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Photo ID
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Social Security Card
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Approved or denied:
Please Select
Approved
Denied
Background check run by:
Please Select
Leah
Robin
Ashley K.
Date returned to store:
-
Month
-
Day
Year
Date
Additional comments from office:
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Should be Empty: