Confidential Computer Search
Request Form




To request a search, follow the directions below
to complete this form. After you complete the form
and press the "submit" button at the end, your
request will be electronically submitted to Stacun, Inc.
Before clicking the "submit" button, please be sure that
you have provided complete, accurate information, and that
you have selected your desired search options below.
Stacun, Inc. will contact you at the telephone number you have provided
when your search results are ready, normally within three
business days. Please note that we may also need to contact
you at that number to clarify or request additional information
in order to complete your search request.



PERSON REQUESTING A SEARCH:

Type your first name here.
Type your last name here.
Contact telephone number goes here.



I AM REQUESTING A SEARCH ON THE FOLLOWING PERSON:

Type the first name of the search subject here.
Type the middle initial of the search subject here.
Type the last name of the search subject here.
In the box below, please list any and all known aliases used by
the search subject:

Type the subject's Social Security Number here (if known):
Type the subject's birthdate here (if known)(DAY/MONTH/YEAR):
The subject's gender is:
Male Female
Type the subject's race here (if known):
In the box below, please type the subject's address (if known):


TYPE OF BACKGROUND SEARCH REQUESTED: