|
Thank you for considering Elite PI Services, LLC to assist you with your information needs. Please fill out the form below and a representative will contact your shortly to assist you with answering questions and/or finalizing your service signup.
|
|
|
|
Company/Organization: * PLEASE Use only characters or numbers,no comma or periods.
|
*
|
|
Street Address: *
|
|
|
City, State, and Zip: *
|
|
|
Website Address:
|
|
|
Type of Organization: *
|
|
|
Are you a Non-Profit Organization? *
|
|
|
Describe the Nature of your Business: *
|
|
|
Employer ID (EID):
|
|
|
State ID Number:
|
|
|
Date Formed:
|
|
|
State of Formation:
|
|
|
Dun & Bradstreet Number:
|
|
|
How many years have you been in business?
|
|
|
How many employees do you have?
|
|
|
How many New Hires per year?
|
|
|
Your Percentage of Turnover?
|
|
|
How many Locations do you have?
|
|
|
|
|
|
Name: *
|
*
|
|
Title:
|
|
|
Phone: *
|
|
|
Fax:
|
|
|
Email: *
|
|
|
Best time to contact you?
|
|
|
Are you the person responsible for making this decision for your company?
|
|
|
If not, please tell us who is:
|
|
|
|
|
|
Name: *
|
*
|
|
Title
|
|
|
Phone: *
|
|
|
Fax:
|
|
|
Email: *
|
|
|
|
|
|
Billing street address:
|
|
|
City, State, and Zip:
|
|
|
|
|
User ID: * must be at least 6 and no more than 10 alpha-numeric characters.
|
|
Password: * must be at least 6 and no more than 10 alpha-numeric characters.
|
|
|
Name of User: *
|
|
|
User's Email: *
|
|
|
|
|
|
Do you currently perform background checks?
|
|
|
Reason for changing current service:
|
|
|
What time frame are you looking to begin screening services with us?
|
|
|
Projected Number of Applicants to be screened annually:
|
|
|
Which services are you interested in?
|
|
|
How did you hear about us?
|
|
|
Intended Use of the Information to be Provided: *
|
|
|
|
|
|
|
|
Please carefully read the Terms and Conditions of the
Elite PI Services, LLC
Consumer Reports User Agreement.
Elite PI Services, LLC Consumer Reports & Background Screening User Agreement Last Updated: January 1, 2026 This Consumer Reports and Background Screening User Agreement (“Agreement”) is entered into by and between Elite PI Services, LLC (“Elite PI,” “we,” “us,” or “our”) and the individual or entity (“User,” “you,” or “Client”) requesting background screening, investigative, or consumer reporting services. By clicking “Yes, I agree”, submitting a screening request, or otherwise using Elite PI Services, you acknowledge that you have read, understand, and agree to be bound by this Agreement.
1. Purpose of Services Elite PI Services provides background screening, investigative, and consumer reporting services, which may include but are not limited to: Criminal background checks (local, state, federal) Identity verification Employment and education verification Motor vehicle record (MVR) checks License and credential verification Address history Other permissible investigative consumer reports All services are provided in compliance with the Fair Credit Reporting Act (FCRA), 15 U.S.C. §1681 et seq., and applicable state and federal laws.
2. Permissible Purpose Certification By using Elite PI Services, you certify that: You are requesting consumer reports only for a permissible purpose under the FCRA, including but not limited to: Employment, contract, staffing, volunteer, or independent contractor screening Credentialing or compliance requirements Tenant, licensing, or other legally authorized purposes You will not use reports for personal, family, or household purposes You have a legitimate business need for the information requested Misuse of consumer reports may result in termination of services and legal liability.
3. Disclosure & Authorization Requirement You certify that before requesting any consumer report: You have provided the consumer/applicant with a clear and conspicuous written disclosure, in a standalone document, that a consumer report may be obtained You have obtained the consumer’s written authorization You will provide copies of disclosures and authorizations to Elite PI upon request
4. Adverse Action Compliance If you take any adverse action (including denial of employment, termination, reassignment, or other negative decision) based in whole or in part on a consumer report, you agree to: Pre-Adverse Action Provide the consumer with: A copy of the consumer report A copy of “A Summary of Your Rights Under the Fair Credit Reporting Act” Allow reasonable time for the consumer to dispute inaccuracies Final Adverse Action Provide an adverse action notice including: Name, address, and phone number of Elite PI Services, LLC Statement that Elite PI did not make the decision Notice of the consumer’s right to dispute accuracy Notice of the consumer’s right to obtain an additional free copy of the report within 60 days
5. Accuracy & Dispute Process Elite PI Services follows reasonable procedures to ensure maximum possible accuracy. However: Information is obtained from third-party sources Elite PI does not guarantee completeness or accuracy of source data Consumers may dispute information directly with Elite PI Disputes will be investigated in accordance with FCRA timelines
6. User Responsibilities & Data Security You agree to: Maintain strict confidentiality of all consumer reports Restrict access to authorized personnel only Implement reasonable administrative, technical, and physical safeguards Prevent unauthorized disclosure or misuse Destroy consumer report information securely when no longer needed
7. Prohibited Uses You agree NOT to use consumer reports: In violation of federal, state, or local law For discriminatory purposes For credit, insurance, or personal decision-making unless legally permitted To harass, intimidate, or retaliate against any individual
8. Limitation of Liability To the maximum extent permitted by law: Elite PI Services shall not be liable for indirect, incidental, consequential, or punitive damages Liability is limited to the amount paid for the specific report in question Elite PI is not responsible for decisions made by the User based on report content
9. Indemnification You agree to indemnify, defend, and hold harmless Elite PI Services, LLC from any claims, damages, fines, penalties, or legal fees arising from: Improper use of consumer reports Failure to comply with FCRA or applicable laws Inaccurate certifications or misuse of services
10. Termination of Services Elite PI reserves the right to suspend or terminate access immediately if: Misuse of reports is suspected Legal or compliance risks arise Required certifications are violated
11. Governing Law & Venue This Agreement shall be governed by the laws of the State of Georgia, without regard to conflict of law principles. Venue shall lie exclusively in the state or federal courts located in Georgia.
12. Electronic Acceptance By selecting “Yes, I agree”, you acknowledge that: This Agreement is legally binding Electronic acceptance constitutes a valid signature You are authorized to accept this Agreement on behalf of your organization, if applicable
13. Contact Information Elite PI Services, LLC?? 100 N. Bennett St., STE 5-A?? 478-993-1257?? info@elitepiservices.com
Fields with a "*" Must be Completed.
Disclaimer:
By clicking the SUBMIT button above, you are signing your legal electronic signature and are thus agreeing to be bound and abide by Elite PI Services, LLC's Terms and Conditions
|