CASE ASSIGNMENT SHEET
PRE-EMPLOYMENT BACKGROUND INVESTIGATIONS

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INVESTIGATIVE RESEARCH ASSOCIATES
P.O. BOX 832947                       RICHARDSON, TX                     75083
972-889-3333                                                 972-889-3338(FAX)
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______________________________________________________________________________

YOUR COMPANY NAME__________________________________ORDER DATE_________________
YOUR ADDRESS____________________________  YOUR NAME___________________________
________________________________________  YOUR PHONE__________________________


SUBJECT’S NAME______________________________________DOB_______________________
ADDRESS_________________________________ SOC. SEC. NO.________________________
________________________________________ D.L. NO._____________________________


CHECK SERVICES DESIRED:

_____CRIMINAL HISTORY (PLEASE INDICATE WHICH COUNTY TO BE SEARCHED BELOW)
     _____DALLAS COUNTY ($5.00)
     _____COLLIN COUNTY ($5.00)
     _____TARRANT COUNTY ($5.00)
     _____DENTON COUNTY ($5.00)
     _____FOUR COUNTY METROPLEX SEARCH (DALLAS, COLLIN, TARRANT, DENTON) $20.00
     _____OTHER COUNTY(IES) ($20.00), PLEASE SPECIFY HERE_____________________
     _____FEDERAL CRIM. CHECK ($15.00), SPECIFY LOCATION______________________
     _____TEXAS STATEWIDE CRIMINAL CHECK ($30.00)

_____CREDIT HISTORY ($10.00)

_____CIVIL LITIGATION HISTORY (PLEASE INDICATE WHICH COUNTY BELOW)
     _____DALLAS COUNTY ($5.00)
     _____COLLIN COUNTY ($5.00)
     _____TARRANT COUNTY ($5.00)
     _____OTHER COUNTY(IES) ($20.00), PLEASE SPECIFY HERE_____________________

_____DRIVING HISTORY (MVR), ($30.00)

_____SOCIAL SECURITY NO. VERIFICATION (USEFUL IN DETERMINING UNDISCLOSED       
     ADDRESSES AND ALIASES). ($10.00)

_____EMPLOYMENT HISTORY VERIFICATION ($10.00 PER EMPLOYER.  PLEASE LIST 
     EMPLOYERS ON A SEPARATE SHEET).

_____EDUCATIONAL HISTORY VERIFICATION ($10.00)

_____REFERENCE VERIFICATION ($5.00 PER REFERENCE.  LIST REFERENCES AND PHONE 
     NUMBERS ON SEPARATE SHEET).

_____OTHER SERVICES AVAILABLE UPON REQUEST.  PLEASE CALL FOR DETAILS AND 
     PRICES.


     1.  TURNAROUND TIME IS “SAME DAY” IN MOST LOCAL CASES.  ASSIGNMENTS SHOULD BE SUBMITTED BEFORE NOON, IF POSSIBLE.

     2.  A CASE ASSIGNMENT MAY BE SUBMITTED BY MAIL, FAX, OR PHONE TO IRA, EITHER ON THIS ASSIGNMENT SHEET OR ON YOUR FORM.  CALL FOR MORE OF OUR FORMS.