IQM, Inc. - Verification of the Candidate's Character and Reputation in the Community

IQM:BUSINESS INVESTIGATIONS
PERSONAL SECURITY QUESTIONNAIRE TO SCREEN AN APPLICANT OR VENDER

Verification of the Candidate's Character and Reputation in the Community

669 Airport Freeway
Hurst, Texas 76053
Phone: (817) 282-3377
Fax: (817) 282-8833
Email: iqm@crime-free.com

CLIENT'S AUTHORIZATION

Reminder: This is an advanced form. Work Order and Candidate Authorizarion must be completed first.
A link at the bottom of this page will take you there if you missed that step.

Data input is greatly speeded up by using the "TAB" key.

Candidate's Last Name Social Security Number

Client's PIN Client's Code Enter the date of submission : -- mm/dd/yyyy

CLIENT'S CASE REQUIREMENTS AND INSTRUCTIONS

The investigators will verify your claims of good character, reputation and financial responsibility in the community. In addition to checking dates and addresses, questions will be asked concerning your behavior. Only certain kinds of references may be used. Please provide a total of four (4) references.

No relatives or persons living with you may serve as a reference.
Your references must have known you for at least three (3) years.
You may use professional, financial or personal references but identify type.

Notes

INSERT THE DATA ABOUT YOUR REFERENCES INTO THE FOLLOWING FIELDS

1. A reference of my good character and reputation

First Initial Last Title

Street Address

City

County State Zip

Reference's Phone - Area Code Number

Alternate Phone (work) - Area Code Number Ext.

Nature of Relationship

Dates of Association

Enter the date when you had your first association with the reference: -- mm/dd/yyyy

Enter the date when you ended your association with the reference: -- mm/dd/yyyy

Enter the date of last contact with the reference: -- mm/dd/yyyy

2. A reference of my good character and reputation

First Initial Last Title

Enter the date of last contact with the reference: -- mm/dd/yyyy

3. A reference of my good character and reputation

First Initial Last Title

Street Address

City

County State Zip

Reference's Phone - Area Code Number

Alternate Phone (work) - Area Code Number Ext.

Nature of Relationship

Dates of Association

Enter the date when you had your first association with the reference: -- mm/dd/yyyy

Enter the date when you ended your association with the reference: -- mm/dd/yyyy

Enter the date of last contact with the reference: -- mm/dd/yyyy

4. A reference of my good character and reputation

First Initial Last Title

Street Address

City

County State Zip

Reference's Phone - Area Code Number

Alternate Phone (work) - Area Code Number Ext.

Nature of Relationship

Dates of Association

Enter the date when you had your first association with the reference: -- mm/dd/yyyy

Enter the date when you ended your association with the reference: -- mm/dd/yyyy

Enter the date of last contact with the reference: -- mm/dd/yyyy

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