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Thank you for your interest in Employee Safe Inc. Please complete the form below so we can provide you with a customized quote tailored to your business needs.

Company name*

First name*

Last name*

Phone*

Address*

Email*

Type Of Business

Transportation (DOT)

Construction

Healthcare

Manufacturing

Small Business / Corporation

Staffing Agency

Other

Number of Employees

Number of employees you plan to screen annually:

Drug Screening Services Requested*

Pre-Employment

Random

DOT Compliancy

Non-DOT

Post Accident

Reasonable Suspicion

Program Management

On-Site Collection

Background Screening Services Requested*

National Criminal History

State Criminal History

County Criminal History

Federal Criminal History 7 Year

SSN Trace

Motor Vehicle Report (MVR)

Professional License Verification

Credit Report

National Sex Offender

Employment Verification

Security Watch List

Other

Additional Information

Employee Safe Inc.

20 Grace Drive

Powell, OH 43065

614-888-3377

info@employeesafe.com

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