Online Registration Form Page 3
Download a blank fillable Online Registration Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Online Registration Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3CONTACT INFORMATION
Contact Name:
____________________________________________________
Title:
____________________________________________________
Contact Phone:
____________________________________________________
Contact Fax:
____________________________________________________
Contact E-mail:
____________________________________________________
SERVICE REFERRAL:
Name of Company That Referred You To This I-9 Service: Payroll Solutions Inc
MOU Details
To be filled out by USVerify
□
□
MOU delivered to client by
Fax
Email on (date): ____________________
MOU completed delivered on (date): ________________________
AGREEMENT INFORMATION
If the customer is ordering I-9 Services with DHS access, attach a copy of the completed
I-9 + DHS Access Form along with the completed MOU (complete with customer,
USVerify, and DHS-USCIS signatures) and send with the Form 88.
Complete the checkboxes below to indicate when ready for setup:
Completed I-9 + DHS Access Form
MOU with Customer, USVerify, and DHS-USCIS signatures
DHS Client Code: _________________
(received from completed MOU)
MOU Effective Date: _________________
(date MOU completed delivered to company)
National Crime Search, Inc.
Toll Free: 888-527-3282
Fax: 800-571-6303
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal