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myBackCheck.com provides many of North America’s largest employers and organizations with a world class pre-employment and volunteer sector screening solution. Simply complete the form below to register your organization with myBackCheck.com and take full advantage of the services we have to offer. Please provide complete responses for each field below and review and indicate your acceptance of myBackCheck.com's terms of service and privacy agreement. You can click on the "Expand" or "Collapse" links to show or hide each section.

If at any time you have questions or concerns regarding the services we provide or the account set-up process, you can contact a Customer Care Representative by calling 1-866-455-7293. Additionally, you are also welcome to contact your account executive directly, or email us at info@myBackCheck.com. Note that all fields marked with a * are required to complete the account set-up process.

Organization Information    Expand | Collapse
*Your Sales Contact at BackCheck
Herman Wong
*Organization Name: (Hereinafter referred to as Client Organization). Doing Business As (DBA):
*First Name: *Last Name:
*Phone #: *Email:
*Physical Address:
       
Unit #                                                  Street                                                                             City                                             Province                     Postal Code
Preferred Language: English   French

Terms of Service and Privacy Agreement
Our Commitment    Expand | Collapse
I agree with the above.*

Client Organization Commitment    Expand | Collapse
I agree with the above.*

Statement of Work    Expand | Collapse
I agree with the above.*

Privacy Agreement    Expand | Collapse
I agree with the above.*

Billing Setup Information
Billing Option    Expand | Collapse

*Please choose one of the following options:

Option 1:
Pay by Credit Card- A BackCheck representative will contact you to collect your credit card number by phone.

Will you require a copy of your invoice? Yes  No

Option 2:
 Applicant Paid - If you have additional requirements or queries, please refer to the Additional Comments/Instructions section at the bottom of this form.

Additional Payment Terms
Is your organization GST exempt? Yes  No
If yes please provide us with your tax exemption number:
Does your organization require purchase orders? Yes  No
Send Invoice By: E-mail  Mail
   
Client Organization agrees to the pricing and service arrangements listed on www.myBackCheck.com, or myBackCheck.com's proposal to Client Organization.*

Thank you for choosing myBackCheck.com, we look forward to working with you.
Please click the button below to submit your Account Setup form.

An Implementation Specialist will be in touch with you shortly to complete your account set-up and provide you with a username and password to access our online platform.

Additional Comments/Instructions:

How did you hear about myBackCheck.com?: