Driving Record Order Form - Order Conveniently Online

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Services Ordered

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Build a Background check - Step 1 of 4

Select the services you would like to order. To expand a description of each service, check the box below. Uncheck to remove. Prices vary by State and will be calculated after you make your selections.

Report Options

-- Driving Record (price varies by state)

-- Nationwide Criminal Record (add $26.00)

-- County Criminal Record (price varies by state/county)

-- Wants and Warrants (add $26.00)

Driving Record has been added.

Nationwide Criminal has been added.

County Criminal has been added.

Instacheck has been added.

Wants & Warrants has been added.

Education Verification has been added.

Employment Verification as been added.

Reference Check has been added.

Current Customers

Are you a current customer?* Yes No

*** IMPORTANT *** We have redesigned the order form. If you are a current customer please login before continuing.

Order Description

The following services have been added to your order. To remove an item, please uncheck the box under Report Options.

Driving Record

In accordance with the laws and restrictions of each state, an electronic driving record abstract may include the following:

Suspensions, Actions, Violations, Accidents, Driving Status, Issue and Expiration Date, Points, Fines, License Classification, Endorsements, Medical Certification. The information provided varies by State.

Nationwide Criminal

This search is useful for identifying potential cases related to the applicant. If records are found, we will verify the case at the county level to confirm the details of the records, as required by the Fair Credit Reporting Act.

National Criminal Search – Includes all available counties in all available states.
National Sexual Offender Registry Search – Includes all offenders currently registered with the National Sex Offender Registry.
Search any alias names that come back on the SSN Search through the National Criminal at no additional cost.

The Nationwide search includes a large database of ancillary searches at no additional cost.

County Criminal Record

County level criminal searches are the best source for the most recent and up-to-date case information. A county search will typically disclose the jurisdiction, type of offense, offense description, case number and case disposition. All county—level criminal searches are FCRA compliant.

Wants and Warrants

A warrant is an order of a court which authorizes a law enforcement officer to arrest and bring a person before the judge. A warrant may be issued when a person is charged with a crime, convicted of a crime but failed to appear for sentencing, owes a fine or is in contempt of court. Our Wants and Warrant search is a system-based real time multi-jurisdictional warrant search.

Education Verification

Education Verification verifies dates of attendance, areas of study and degrees obtained.

Employment Verification

Employment Verification verifies dates of employment, position, salary, reason for leaving and recommendations.

Personal / Professional Reference Verification

Personal / Professional Reference Verification verifies and obtains vital information about personality, general reputation in the community, work ethics etc..

Permissible Purpose - Step 2 of 4

Permissible Purpose

Please indicate your permissible purpose for ordering.

Select Permissible Purpose* -- I am ordering a copy of my own record(s), the subject of this request is me. FCRA 604(a)(2)

-- I am an employer or prospective employer screening an employee or job candidate, where the consumer has given written permission. FCRA 604(a)(3)(B) and 604(b)

-- I am a representative of the insurance industry, for the underwriting of insurance as a result of an application from a consumer. FCRA 604(a)(3)(C)

-- I am a representative of a business and I have a legitimate business need in connection with a transaction that is initiated by the consumer or to review an account to determine if the consumer continues to meets the terms of the account. FCRA 604(a)(3)(F)

-- I am a representative of a financial institution, for the extension of credit as a result of an application from a consumer, or the review or collection of a consumer's account. FCRA 604(a)(3)(A)

Personal Use Disclaimer

Report Certification for Personal

You have indicated you are ordering a consumer report on yourself and NOT someone else.

By accepting the terms below, you agree to give References-etc written permission to provide the reports you have selected and you understand that, under the Uniform Electronic Transaction Act or the Electronic Signatures in Global and National Commerce Act, you may sign this agreement electronically.

By accepting the terms below, you understand that all reports and services ordered through our website are very data specific and there are NO REFUNDS for inaccurate information provided by you. The report(s) will be delivered to you electronically by email and posted to your account. You will need a PDF application to view the reports.

*** DRIVING RECORDS *** To order your own driving record we must verify your identity. As a part of the verification process you must fax, email or text a copy of a state or government issued photo ID before we procure your report. Additional verification documents may be required at our request. Instructions will be provided to you upon completion of your order or you can review the instructions within your account area.

By selecting the checkbox below, you certify:

1. You have read, understand, and agree with the information above;
2. You are ordering YOUR OWN consumer report (criminal, driving, etc.) and NOT someone else’s;
3. You are instructing References-etc to prepare that report;
4. You will provide any additional verification if required;
5. You intend your agreement to serve as your electronic signature;
6. You understand that there are no refunds for failing to comply with the terms above.

Employment Use Disclaimer

Report Certification for Employment

By accepting the terms below, you agree and understand that under the Uniform Electronic Transaction Act or the Electronic Signatures in Global and National Commerce Act, you may sign this agreement electronically.

The report(s) will be delivered to you electronically by email and posted to your account. You will need a PDF application to view the reports.

By ordering or receiving a report for Employment Purposes, you certify the following:

1. You are the End-User and you will use the report as a "consumer report" and only for "employment purposes" under the FCRA. You will not use (or permit anyone else to use) information from the report in violation of any applicable federal or state equal employment opportunity law or regulation.
2. You have given the subject clear, conspicuous, written disclosure (in a document consisting solely of the disclosure) that a consumer report may be obtained for employment purposes and that each of the disclosures were not combined with anything else.
3. You have obtained the subject's prior written authorization to procure this report.
4. You have provided any additional disclosures and authorizations required by STATE law.
5. Before taking adverse action, you agree to provide the subject with the Summary of Rights and a copy of the report you received.
6. You will not take any adverse action based on information in the report UNLESS: You have given the subject a reasonable period after providing the notice of at least 5 business days in which to dispute or explain the information.
7. When you take adverse action based on information in the report, you agree to give the subject written notice: (1) of the adverse action being taken; (2) The reason for the adverse action; (3) of the name, mailing address, telephone number, and website address of References-Etc; (4) A statement that References-Etc did not make the adverse decision nor we are able to explain why the decision was made; (5) that the subject can obtain a free copy of the report by requesting one within 60 days; and (6) that the subject may dispute the accuracy or completeness of any information provided.
8. If the FCRA governs the report or information from it as an investigative consumer report, the End-User has given the subject: (1) a clear and accurate disclosure that an investigative consumer report including information on the subject's character, general reputation, personal characteristics, and mode of living, whichever are applicable, may be made; (2) a statement that the subject has the right to obtain a complete and accurate disclosure of the scope and nature of the investigation performed; and (3) Provided the subject with a Summary of Your Rights . If the subject requests, the End-User will make a complete and accurate disclosure of the nature and scope of the investigation and deliver that disclosure to the subject within five days.
9. You confirm that you have independently educated yourself about your duties and legal responsibilities under applicable law. You confirm that you are not relying on us to ensure that you are complying with applicable law.
10. You, the End-User, agree to keep all supporting documentation and consent forms that support your permissible purpose for procuring this report for a period of no less then 5 years. References-Etc randomly audits orders to ensure compliance and verify new accounts. You agree to provide all supporting documents within 5 business days of receiving notice from us.
11. You confirm you understand when you're done using a consumer report, you must securely dispose of the report and any information you gathered from it so that it can't be read or reconstructed.
12. By accepting the terms below, you intend your agreement to serve as your electronic signature.

Please refer to the FCRA and the DPPA as well as any applicable State law for more information about your legal responsibilities.

Insurance Use Disclaimer

Report Certification for Insurance

By accepting the terms below, you agree and understand that under the Uniform Electronic Transaction Act or the Electronic Signatures in Global and National Commerce Act, you may sign this agreement electronically.

The report(s) will be delivered to you electronically by email and posted to your account. You will need a PDF application to view the reports.

By ordering or receiving a report for Insurance Purposes, you certify the following:

1. You are the End-User and you will use the information in the report only as a "consumer report" under the FCRA for determining the subject's eligibility for insurance or the rate for insurance.
2. If the report is an investigative consumer report under the FCRA, you have given the subject: (1) a clear and accurate disclosure that an investigative consumer report including information on the subject's character, general reputation, personal characteristics, and mode of living, whichever are applicable, may be made; (2) a statement that the subject has the right to obtain a complete and accurate disclosure of the scope and nature of the investigation performed; and (3) the Consumer Financial Protection Bureau's "a Summary of Your Rights under the Fair Credit Reporting Act". If the subject requests, you the End-User, will make a complete and accurate disclosure of the nature and scope of the investigation and deliver that disclosure to the subject within five days.
3. You have provided any additional disclosures and authorizations required by STATE law.
4. When you take adverse action based on information in the report, you agree to give the subject written notice: (1) of the adverse action being taken; (2) The reason for the adverse action; (3) of the name, mailing address, telephone number, and website address of References-Etc; (4) A statement that References-Etc did not make the adverse decision nor we are able to explain why the decision was made; (5) that the subject can obtain a free copy of a report by requesting one within 60 days; and (6) that the subject may dispute the accuracy or completeness of any information provided.
5. If you, the End-User, take adverse action, you will provide a copy of the report that you received with the notice of adverse action.
6. You confirm that you have independently educated yourself about your duties and legal responsibilities under applicable law. You confirm that you are not relying on us to ensure that you are complying with applicable law.
7. You, the End-User, agree to keep all supporting documentation and consent forms that support your permissible purpose for procuring this report for a period of no less then 5 years. References-Etc randomly audits orders to ensure compliance and verify new accounts. You agree to provide all supporting documents within 5 business days of receiving notice from us.
8. You confirm you understand when you're done using a consumer report, you must securely dispose of the report and any information you gathered from it so that it can't be read or reconstructed.
9. By accepting the terms below, you intend your agreement to serve as your electronic signature.

Please refer to the FCRA and the DPPA as well as any applicable State law for more information about your legal responsibilities.

Financial Use Disclaimer

Report Certification for Financial

By accepting the terms below, you agree and understand that under the Uniform Electronic Transaction Act or the Electronic Signatures in Global and National Commerce Act, you may sign this agreement electronically.

The report(s) will be delivered to you electronically by email and posted to your account. You will need a PDF application to view the reports.

By ordering or receiving a report for Financial Purposes, you certify the following:

1. You are the End-User and you will use the information in the report only as a "consumer report" under the FCRA for determining the subject’s eligibility for credit, review, or collection of an account of the consumer.
2. If the report is an investigative consumer report under the FCRA, you have given the subject: (1) a clear and accurate disclosure that an investigative consumer report including information on the subject's character, general reputation, personal characteristics, and mode of living, whichever are applicable, may be made; (2) a statement that that the subject has the right to obtain a complete and accurate disclosure of the scope and nature of the investigation performed; and (3) the Consumer Financial Protection Bureau's "a Summary of Your Rights". If the subject requests, you the End-User, will make a complete and accurate disclosure of the nature and scope of the investigation and deliver that disclosure to the subject within five days.
3. You have provided any additional disclosures and authorizations required by STATE law.
4. When you take adverse action based on information in the report, you agree to give the subject written notice: (1) of the adverse action being taken; (2) The reason for the adverse action; (3) of the name, mailing address, telephone number, and website address of References-Etc; (4) A statement that References-Etc did not make the adverse decision nor we are able to explain why the decision was made; (5) that the subject can obtain a free copy of a report by requesting one within 60 days; and (6) that the subject may dispute the accuracy or completeness of any information provided.
5. If you, the End-User, take adverse action, you will provide a copy of the report that you received with the notice of adverse action.
6. You confirm that you have independently educated yourself about your duties and legal responsibilities under applicable law. You confirm that you are not relying on us to ensure that you are complying with applicable law.
7. You, the End-User, agree to keep all supporting documentation and consent forms that support your permissible purpose for procuring this report for a period of no less then 5 years. References-Etc randomly audits orders to ensure compliance and verify new accounts. You agree to provide all supporting documents within 5 business days of receiving notice from us.
8. You confirm you understand when you're done using a consumer report, you must securely dispose of the report and any information you gathered from it so that it can't be read or reconstructed.
9. By accepting the terms below, you intend your agreement to serve as your electronic signature.

Please refer to the FCRA and the DPPA as well as any applicable State law for more information about your legal responsibilities.

Business Use Disclaimer

Report Certification for Business

By accepting the terms below, you agree and understand that under the Uniform Electronic Transaction Act or the Electronic Signatures in Global and National Commerce Act, you may sign this agreement electronically.

The report(s) will be delivered to you electronically by email and posted to your account. You will need a PDF application to view the reports.

By ordering or receiving a report for Business Purposes, you certify the following:

1. You are the End-User and you will use information in the report only as a "consumer report" under the FCRA and only for a legitimate business purpose that is in connection with a business transaction initiated by the subject or to review an account to determine whether the consumer continues to meet the terms of the account.
2. You will not use the report for any other purpose defined by the FCRA Section 604, such as the evaluation of employment, credit, insurance etc...
3. If the FCRA governs the report or information from it as an investigative consumer report, you have given the subject: (1) a clear and accurate disclosure that an investigative consumer report including information on the subject's character, general reputation, personal characteristics, and mode of living, whichever are applicable, may be made; (2) a statement that the subject has the right to obtain a complete and accurate disclosure of the scope and nature of the investigation performed; and (3) Provided the subject with a Summary of Your Rights. If the subject requests, the End-User will make a complete and accurate disclosure of the nature and scope of the investigation and deliver that disclosure to the subject within five days.
4. You have provided any additional disclosures and authorizations required by STATE law.
5. When you take adverse action based on information in the report, you agree to give the subject written notice: (1) of the adverse action being taken; (2) The reason for the adverse action; (3) of the name, mailing address, telephone number, and website address of References-Etc; (4) A statement that References-Etc did not make the adverse decision nor we are able to explain why the decision was made; (5) that the subject can obtain a free copy of a report by requesting one within 60 days; and (6) that the subject may dispute the accuracy or completeness of any information provided.
6. If you take adverse action, you will provide a copy of the report that you received with the notice of adverse action.
7. You confirm that you have independently educated yourself about your duties and legal responsibilities under applicable law. You confirm that you are not relying on us to ensure that you are complying with applicable law.
8. You, the End-User, agree to keep all supporting documentation and consent forms that support your permissible purpose for procuring this report for a period of no less then 5 years. References-Etc randomly audits orders to ensure compliance and verify new accounts. You agree to provide all supporting documents within 5 business days of receiving notice from us.
9. You confirm you understand when you're done using a consumer report, you must securely dispose of the report and any information you gathered from it so that it can't be read or reconstructed.
10. By accepting the terms below, you intend your agreement to serve as your electronic signature.

Please refer to the FCRA and the DPPA as well as any applicable State law for more information about your legal responsibilities.

Certification

Please Certify you understand your legal obligations*

Please certify you understand your legal obligations*

Save Permissible Purpose

If you would like to save this permissible purpose as your permissible purpose for all future orders, please select yes and you will not see this message again. If your permissible purpose changes please edit your permissible purpose in your account area.

Save Permissible Purpose Yes No

Order Form - Step 3 of 4

Please enter the subject's legal name as shown on a driver's license or other government issued identification.

Subject Information

First Name*

Last Name*

What State Will the Subject Work?*

Subject's Email Address*

Middle Name

Date of Birth (mm/dd/yyyy format)*

SSN (9 digits - no spaces or dashes)*

Driver License Information

Driver License State*

Driver License Number*

Pennsylvania requires a State release. The release will be emailed to you immediately following your order. Alternatively, you can click the icon to download the release. We only provide PA driving records for EMPLOYMENT purposes.

Washington requires a State release. The release will be emailed to you immediately following your order. Alternatively, you can click the icon to download the release.

County Criminal Record

Criminal State*

Alabama County

Alaska County

Arizona County

Arkansas County

California County

Colorado County

Connecticut County

Delaware County

District of Columbia County

Florida County

Georgia County

Hawaii County

Idaho County

Illinois County

Indiana County

Iowa County

Kansas County

Kentucky County

Louisiana County

Maine County

Maryland County

Massachusetts County

Michigan County

Minnesota County

Mississippi County

Missouri County

Montana County

Nebraska County

Nevada County

New Hampshire County

New Jersey County

New Mexico County

New York County

North Carolina County

North Dakota County

Ohio County

Oklahoma County

Oregon County

Pennsylvania County

Rhode Island County

South Carolina County

South Dakota County

Tennessee County

Texas County

Utah County

Vermont County

Virginia County*

Washington County

West Virginia County

Wisconsin County

Wyoming County

Wants & Warrants

Gender

Wants and Warrants require a signed release. The release will be emailed to you immediately following your order. Alternatively, you can click the icon to download the release.

Employment Verification

Company Name*

Reference's Name*

State*

Telephone # (indclude areacode)*

Start Date MM/DD/YYYY format*

Subject's Name Used During Employment (optional)

Education Verification

State*

School Name*

Registrar Telephone # (indclude areacode)*

Degree Obtained*

Start Date MM/DD/YYYY format*

End Date MM/DD/YYYY format*

Subject's Name Used While Attending (optional)

Pro/Personal Reference

Reference Check Type*

Company Name (optional)*

Reference's Name*

Relationhip*

State*

Telephone # (indclude areacode)*

Verification Details

Verified Yes or No No Yes

Verified

Release Received?

License Received?

Credit Card Match?

Request More Info Send Pending Complete

Random Audit Send Pending Complete

Other forms of verification

Order Number

Company Name

Payment Status

1 = Paypal 8 = CC

Payment Response

Permissible Purpose

Driving Record Status

PA & WA Release

Nationwide Criminal Status

County Criminal Status

Wants & Warrants Status

Reference Type

Reference Check Status

Insta-Check Status

Education Verification Status

Employment Verification Status

BF Record ID

Virtumart User ID

Order Summary - Step 4 of 4

Verify order details. Search results are dependent on the accuracy of the information provided by you. Please verify the information you entered to ensure the most accurate results. Use the edit button to edit your order.

Subject Information

First Name

Last Name

Middle Name

SSN

DOB

What State Will the Subject Work?

Subject's Email Address

Driver License Information

Driver License State

Drivers License Number

Nationwide Criminal

checkbox

County Criminal Record

County Criminal State

Alabama County

Alaska County

Arizona County

Arkansas County

California County

Colorado County

Connecticut County

Delaware County

District of Columbia County

Florida County

Georgia County

Hawaii County

Idaho County

Illinois County

Indiana County

Iowa County

Kansas County

Kentucky County

Louisiana County

Maine County

Maryland County

Massachusetts County

Michigan County

Minnesota County

Mississippi County

Missouri County

Montana County

Nebraska County

Nevada County

New Hampshire County

New Jersey County

New Mexico County

New York County

North Carolina County

North Dakota County

Ohio County

Oklahoma County

Oregon County

Pennsylvania County

Rhode Island County

South Carolina County

South Dakota County

Tennessee County

Texas County

Utah County

Vermont County

Virginia County

Washington County

West Virginia County

Wisconsin County

Wyoming County

Wants & Warrants

Gender

checkbox

Education Verification

School Name

State

Registrar Phone Number

Degree Obtained

Start Date MM/DD/YYYY format

End Date MM/DD/YYYY format

Subject's Name Used While Attending (optional)

Employment Verification

Company Name

Reference's Name

State

Telephone #

Start Date MM/DD/YYYY format

Subject's Name Used During Employment (optional)

Pro/Personal Reference

Reference Check Type

Company Name (optional)

Reference's Name

Relationhip

State

Telephone #

Permissible Purpose

Order Date

Order ID

vmbf_subtotal

vmbf_quantity

cat id

Product Name

WA Release

Reference Checkbox Value

Employment Checkbox Value

Education Checkbox Value

Driving Checkbox Value

County Checkbox Value

Wants Checkbox Value

Instacheck Checkbox Value

Personal Use Status

Other Use Status

Admin Email

Nationwide Criminal

Insta-Check

Wants and Warrants

Education Verification

Employment Verification

Reference Check

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