SERVICES AGREEMENT

Risk Management, Fraud Prevention & Investigative Data Services

Secure Form   (HTTPS Encrypted)
 

U.S. INFO SEARCH.COM  

Martin Information & Investigations, LLC.

Phone:

Fax: 

(614) 322-9992

(614) 386-2064

U.S. INFO SEARCH offers instant data to U.S. Business professionals, Investigators, and U.S. Government Agencies.

A signed agreement and current business documentation is required for a free demonstration.

  

Please Enter Details:
  *Red Color is required field

Company Name:

Business Street Address:

(No P.O. Boxes accepted)

City:

State:

Zip:

Listed Business Phone:

ext. (No cell or  800 numbers)

Fax number:

Website address:

(if applicable):

First name:

Last name:

Title:

Contact email:

(Your Company email address)

Select username:

(minimum of 5 characters)

Select Password:

(cannot contain username)

Select Industry Class

Employment screening

Security

Attorney Law office

Insurance

Collections

Government Agency    

Financial & Banking 

Accountancy

Fraud detection/prevention   

Human Resources

Process Server

Law Enforcement

Investigations                  

Other (please describe)  

Search Purpose - IRSG Acceptable Uses:

  Claims Investigation

  Collection Activity

  Apprehend Criminals

  Court Related

  Locate Missing people

  Consumer Protection

  Due Diligence

  Attorney/Law Firm Functions   

  Child Support Enforcement

  Fraud Prevention/Detection

  Process Service

  Vendor Certification

Estimated number of monthly searches: 

0-100 101-500  501-1000  1000-5000+

Business Information (complete only applicable fields)
Federal Tax ID#       Length of Years in Business   
Type of license    Expires (date):

Affiliates earn $100.00 in free search credits for every approved referral!
Referred by (Name and Company - if applicable):  

 

ACCEPTABLE USES (CHECK ALL THAT APPLY - AT LEAST ONE MUST BE CHECKED) 

The information that the U.S. InfoSearch.com Service provides to the end user may contain consumer identification information governed by the Gramm-Leach-Bliley Act (GLB).  In accordance with GLB, such information may only be used for the following purposes:
Completion of a transaction authorized by the consumer including but not limited to the collection of delinquent accounts
Application Verification including but not limited to (a)  employment application information verification (however, U.S. InfoSearch.com data cannot be used to make an employment decision as outlined in the Fair Credit Reporting Act (15 U.S.C.  1681 et seq.)), (b) property leasing application information verification (however, U.S. InfoSearch.com data cannot be used for making a leasing decision as outlined in the Fair Credit Reporting Act (15 U.S.C.  1681 et seq.)), and (c) insurance application information verification (however, U.S. InfoSearch.com data cannot be used for making a decision to insure an individual or business as outlined in the Fair Credit Reporting Act (15 U.S.C.  1681 et seq.)).  Customer represents and warrants that U.S. InfoSearch.com data will not be used for purposes governed by the Fair Credit Reporting Act.
Law firm and attorney functions
Insurance purposes including (a) account administration, (b) reporting, (c) fraud prevention, (d)  premium payment processing, (e)  claim processing and investigation, (f)  benefit administration, or (g) research projects
Government or Law enforcement Agency
Fraud detection and prevention
Required institutional risk control/dispute resolution for resolving customer disputes or inquiries
I have no GLB permitted use.

VEHICLE RECORDS - DPPA ACCEPTABLE USES (CHECK ALL THAT APPLY - AT LEAST ONE MUST BE CHECKED)

The U.S. InfoSearch.com database also contains drivers license and motor vehicle registration information governed by the Drivers Privacy Protection Act (DPPA).  In accordance with DPPA, such information may only be used for the following purposes:
Use by a court or other government agency or entity, acting directly on behalf of a government agency.  18 U.S.C.   2721(b)(1).
Use for any matter regarding motor vehicle or driver safety or theft; to inform an owner of a towed or impounded vehicle.  18 U.S.C.  2721(b)(2).

Use in the normal course of business, to verify the accuracy of personal information submitted by the individual to the business and, if the submitted information is incorrect, to obtain correct information, but only for the purpose of preventing fraud by, or pursuing legal remedies against, or recovering on a debt or security interest against, the individual. 18 U.S.C.  2721(b)(3).
Use in connection with a civil, criminal, administrative, or arbitral proceeding.  18 U.S.C.  2721(b)(4).
Use by an employer or its agents or insurer to obtain or verify information relating to a holder of a commercial drivers license that is required under the Commercial Motor  Vehicle Safety Act of 1986.  18 U.S.C.  2721(b)(9).
Use by an insurer or insurance support organization, in connection with claims investigation activities, antifraud activities, rating or underwriting.  18 U.S.C.  2721 (b)(6).
Use by a licensed private investigative agency, or licensed security service, for a purpose permitted in items 1 through 6 above.  18 U.S.C.  2721(b)(8).
I have no DPPA permitted use.