If you have any questions or need assistance with this process, please call: Customer Service toll free at 1-888-282-0447. We are here to serve your needs.
If you want us to start immediately, fill out the form below and fax it along with a clear copy of your drivers license for identification, to the Toll Free Fax number 1-888-286-7128. (Be sure to include your phone number for faster service.)
You will be entered into our Client Service System at no charge immediately after you fax in the signed client agreement form, along with a clear copy of your drivers license. You will only need to fax in the client service agreement once. You will need to fax in a signed authorization from your prospective tenant or employee to perform the credit/background check each time you want a check performed. Your account will only be charged when you perform a credit/background check.
You may contact your customer service representative by calling toll free 1-888-282-0447 to verify that you have all the information required and a signed authorization from your prospective tenant or employee to perform the credit/background check. The representative will also provide an exact quote for the services you need.
Select the print option on your browser to print this form after filling out the fields. Sign the form and fax it along with a clear copy of your drivers license to 1-888-286-7128.
Client Service Agreement
Please PRINT your FULL name here:
This agreement is between AAA Credit Screening Services, L.L.C. and the Client whose signature appears below.
Client agrees that the credit reports ordered under this service agreement are solely for purposes allowed under the Fair Credit Reporting Act, 15 U.S.C. 1681 et seq. ("FCRA") including one or more of the following (check all that apply) : extending credit, review or collection of an account, employment purposes, underwriting insurance, in connection with some other legitimate business transaction (Please specify in space provided):
Client agrees to inform the consumer when denying credit based on a credit bureau report. The Client agrees to keep all consumer credit information under strict confidence, except to the extent that disclosure to others is required by law. The Client agrees not to provide a copy of the credit report to the subject of the report; instead, Client shall refer the subject to the office or bureau identified on the consumer credit report.
Client understands that the information on the credit reports and other reports provided under this agreement is not guaranteed to be accurate, but is reported as supplied by third party sources.
Client agrees to release and indemnify AAA Credit Screening Services, L.L.C., as well as their officers and employees, from all liability arising from the Client's unauthorized access, improper use, or reliance on consumer credit information and any other information provided by AAA Credit Screening Services, L.L.C. pursuant to this agreement. Client further agrees to release and indemnify the credit bureaus and other information suppliers (used by AAA Credit Screening Services, L.L.C. to provide consumer credit information and any other information) as well as their parent, sister, and affiliate entities, their officers, employees, contractors, and agents from all liability arising from the Client's unauthorized access, improper use or reliance on consumer credit information and any other information provided by AAA Credit Screening Services, L.L.C. pursuant to this agreement.
Client agrees that there are no written or oral understandings that are not fully expressed in this agreement.
Client agrees to make no credit granting, insurance, or employment decisions based on a SAFESCAN® message alone, since the information supplied from the SAFESCAN® system may or may not apply to the consumer who has made the application and SAFESCAN® messages are merely an indication that the Client should thoroughly verify application information before making a decision.
Client acknowledges that Client is required to comply with the Equal Credit Opportunity Act, 15 U.S.C. 1691 et seq., and Regulation B, 12 C.F.R. pt. 202, which regulate a credit grantor's use of information such as Risk Scores.
Client certifies that any credit reports ordered are with the subject(s)' prior written permission. Client agrees to keep the authorization on file for a minimum of two (2) years.
Client understands that anyone who obtains a consumer credit report in a fraudulent manner (illegally) may be fined up to $5,000 or imprisoned up to one year under Title 18, United States Code.
Social Security No. or Federal Tax ID No.:
Signature of Authorized Representative:
Print name of Representative:
Print title of Representative:
Street Address of Client or Company:
City, State, Zip:
Name of Client Contact:
Phone Number of Client Contact:
Fax Number:
Date:
How would you best describe yourself as a client? Creditor, Apartment or Property Manager, Business Realtor or Real Estate Company, Landlord, Other (Please specify in space provided: )
How did you originally hear about us? Internet, Yellow Pages, Mailer Flyer, AAA Credit Screening Svcs Representative Called Me, Other (Please specify in space provided: )
Payment/Billing Information
Please select your method of payment
Check Draft (Fax a copy of your completed check to us) Money Order (Order processed when we receive) Master Card Visa Discover AMEX
Credit Card Account #:
Expiration Date:
Check Draft? Enter the numbers on the bottom of your check: ( 9 Digit Transit# ) ( Account# ) ( Check# )
Name (as it appears on credit card or check):
Address (of Cardholder or Bank Account Owner):
City/State/Zip:
Daytime phone#:
Fax#:
Home phone#:
*Signature (of cardholder or account owner) authorizing billing for report(s) ordered above:
Please provide the appropriate phone number to allow us to verify your bank or credit card account information (required):
*Credit Card Phone Number (On Back of Card):
*Bank (Checking Account) Phone Number:
If you want us to draft your checking account for payment (minimum balance of $100 required), you must select "Check Draft" as the method of payment above. Make sure you include your bank phone number as requested above. Make your check payable to "AAA Credit Screening Services." Write "O.K. to draft for amount on check" on the memo line of your check. You will need to fax a copy of the check to us at 281-286-7128 or toll free at 1-888-286-7128. We will use the copy of your check to draft your account for payment. Put the amount in your check register. You do not need to mail the original check to us.
*All credit card orders must include a signature to be processed. Client agreement must be completed and submitted only once. First time orders must include a copy of client's business license, real estate license or driver's license. Thank you!
