Powered By: Name *Phone *Current Address *Social Security Number: *upload your Social Security Card *Choose FileNo file chosenDelete uploaded fileDate of Birth *Driver License - Front Side *Choose FileNo file chosenDelete uploaded fileDriver License - Back Side *Choose FileNo file chosenDelete uploaded fileUpload Your Utility Bill *Choose FileNo file chosenDelete uploaded fileAny Criminal Record *YesNoConsent *I understand my rights as outlined in the above filled information and, in connection with my work with Time Plus Payroll Solution. I authorize the agency where I am applying, its affiliates, agents, and independent contractors, to make the following background checks during the application/screening process and during the course of my employment/service: criminal history, sex offender registration, and social security number verification.Further, the information received in connection with this background checks is strictly confidential and will not be released except to the authorized personnel on Background Checks. Unless I so authorize in writing. Time Plus Payroll Solution and its independent contractors will not disclose or distribute the information generated from the background checks listed above.Submit