Account Registration Request - - PrescribeHire - For relief of applicant and hiring headaches.
Account Registration Request - - PrescribeHire - For relief of applicant and hiring headaches.
Account Registration Request - - PrescribeHire - For relief of applicant and hiring headaches.

Account Registration Request

PrescribeHire must perform an initial discovery on all prospective clients before an account can be established and orders processed. This form is facilitates that discover, and as such, we ask that you be as thorough as possible in the information you provide. This will allow us to verify your business and will eliminate potential delays in getting you set up with an account.

* denotes a required field.
Business Name: *
Business Address: *
City, State & Zip: *
EIN:  
Telephone: *
Fax: *
Is the Fax Line Private?: *
Is the address above a residential address?: *
Principal - or - Officer: *
Title: *
Website: *
Email: *
Business Legal Format: *
In Which Verfication Services Are You Interested?: *
Will You Need Credit Reports?: *
Any Additional Information You Wish To Share:: *
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