Your Contact Information Your Name (required) Company Name (required) Your Email (required) Current Practices Do you currently screen your employees? YesNo Do you currently test your employees for drug use? YesNo How many employees do you hire monthly? ---1-1011-2526-5051-100100+ Desired Screening Services Which of the following screening services are you interested in? Background Checks County Criminal HistoryStatewide Criminal HistoryNationwide Criminal Database SearchEducation VerificationMotor Vehicle RecordNationwide Sex OffenderPrevious Employment VerificationSocial Security SearchOther Drug Screening DOT Certified TestingNon-DOT Pre-employmentProbable CauseRandom ScreeningInstant Drug ScreeningProductionsNon-DOT Lab TestingHair FollicleOther Other Screening DNA/ Paternity TestingAptitude Assessments Additional Information Needed? Comments / Questions? Are You Human? 36 / 9 = ?