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To register for the Background Check System, please enter the following information:
*
Vendor Number
Click here
to register for a Vendor Number.
*
Taxpayer ID (TIN)
*
Applying as
An Individual
A Company
Company Name
(Required If Applying As A Company.)
(Optional If Applying As An Individual.)
*
Contact First Name
*
Contact Last Name
*
Address
*
City
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State
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
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MS
MO
MT
NE
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NJ
NM
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ND
OH
OK
OR
PA
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SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
*
Zip
*
Phone Number
(XXX-XXX-XXXX)
Mobile Number
(XXX-XXX-XXXX) (Optional Field)
*
Fax
(XXX-XXX-XXXX)
*
Email Address
*
Username
*
Password
*
Confirm Password
*
Security Question
Mother's Maiden Name
Favorite Pet's Name
Favorite Food
First Car Model
Favorite Hobby
High School Mascot
*
Security Answer
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