Background Investigation Form

At BGI Associates, we bring years of expertise and a commitment to excellence to every client interaction. Based in Zeeland, Michigan, we have built a reputation for delivering reliable, confidential, and professional services that our clients can depend on. Our team is dedicated to upholding the highest standards of integrity and discretion in all our operations.

Last name

First name

Middle Name

Personal Information

Birthday

Month

Day

Year

Drivers License Number

Drivers License State

Social Security Number

Organization Authorizing Background Investigation

Phone Number

List all addresses you have resided at within the past seven years. Current address first:

Current Address

Previous Addresses

Have you ever been pled guilty or “no contest” to a crime or been convicted of a crime using any other name?

Yes

If you checked Yes, please give details below:

NOTE: Answering yes to this question does not constitute an automatic elimination from employment consideration.

I (Name),

acknowledge I am aware BGI Associates LLC will obtain a consumer report for purposes of establishing eligibility for employment with:

Purpose

I understand and authorize the search of all criminal justice reporting agencies and the release of all criminal conviction records to BGI Associates LLC. I authorize all persons, schools, companies, corporations, credit reporting agencies, department of motor vehicles and law enforcement agencies to supply information concerning any records they may have in any of their files to BGI Associates LLC.

Print Name

Date

Signature

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Background Investigation Form

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