Based on qualifications presented on your application form and/or in your job interview, you are
hereby offered a job with our organization conditional upon verification of workers' compensation information.
ScreenNow, ChoicePoint and the ChoicePoint logo are
registered trademarks of ChoicePoint Asset Company.
___________________________________ ________________________________________________
Company Name Employer's Signature
___________________________________ ________________________________________________
Job Position Date of Job Offer
___________________________________
Employee's Signature
Note: This information is not to be used in a manner which would violate the Americans with Disabilities Act.
ChoicePoint Form-WC3
©2008 ChoicePoint Asset Company. All rights reserved.
Site Map / Privacy Statement / Legal