Vericon Resources

3550 Engineering Drive
Suite 225
Norcross GA 30092-2358

Toll Free. 800-795-3784
Phone. 770-457-9922
Fax. 770-457-5006

Thank you for submitting your Prospective Client Questionnaire. You will receive an e-mail confirmation once your questionnaire has been received.

A Vericon representative will contact you to discuss your questionnaire and background screening needs.

* denotes required fields
*First Name:
*Last Name:
*Company:
Job Title:
*Email:
*Phone:
Address:
City:
State:
Zip:
*Country:
Number of Employees?
How many office locations and in what states/countries?
Currently receiving background checks? Yes or No?
If yes, how many per month?
What are your most important services for a background check? (Criminal, MVR, Credit Report, etc.)
Do you drug test?
If yes, DOT or Non-DOT?
Does your company have an HRIS system?
If yes, please list name?
Are you interested in receiving a demo of our online technology?	Choose oneYesNo
Are you interested in receiving a price quote on services?	Choose oneYesNo
Choose your Demo:	Select One... All FactsTrack eEmployMe DirectCheck
*How did you hear about Vericon?	Select One... Conference/Trade Show Online Search Engine Referral Facebook Twitter LinkedIn Mailer eMail Other
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