BackCheck provides many of North America’s largest employers and organizations with our world class pre-employment screening solution. Below you will find BackCheck’s standard account set-up form which will allow your organization to take full advantage of the services we have to offer. BackCheck requests that you submit complete responses as best you can for each field below. Please also review and indicate your acceptance of BackCheck'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 1-866-455-5596 and ask for Customer Care. Additionally, you are also welcome to contact your account executive directly, or email us at implementation@backcheck.ca. Note that all fields marked with a * are required to complete the account set-up process successfully.

 

 

1. Company Information

*Your Sales Contact at BackCheck
*Corporate Name: (Hereinafter referred to as Client Company). *Primary Contact:
Doing Business As (DBA):
*Physical Address:
               
Unit #                                                  Street                                                                             City                                             Province                     Postal Code
*Phone #: Company Website
Industry: Estimated # of Employees:
Estimated Yearly Hiring Volume Range: # of Locations:
Preferred Language: English   French
 
Billing Information
*Accounts Payable Contact: *Accounting Phone #:
Accounting Fax #: *Accounting E-mail:
Send Invoice Attention To: Preferered Language: English   French
Billing Address:
               
Unit #                                                  Street                                                                             City                                             Province                     Postal Code
 


2. Company Contacts

BackCheck will contact the designated primary contact to discuss online results access. Usernames and passwords are provided via telephone to the designated recipient(s).
Primary Contact  
*Primary Human Resources or Security Contact Name: *Phone #:
*Fax #: *E-mail:
Who should BackCheck contact first regarding implementation? Primary Contact or:
 
Secondary Contacts
Contact Name: Location: Bill Separately? Yes  No
Phone #: Fax#: E-mail:
Can the above Secondary Contact receive negative Criminal History Check details? Yes  No
 
Contact Name: Location: Bill Separately? Yes  No
Phone #: Fax #: E-mail:
Can the above Secondary Contact receive negative Criminal History Check details? Yes  No



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

Client Company 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
I agree to the pricing and service arrangements listed in BackCheck's proposal to Client Company.*

Thank You for choosing BackCheck, we look forward to working with you.
Please click the submit 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 delivery platform.