The Cromwell Group, Inc.
100 Chase Park South, Ste 112
Birmingham, AL 35244

Background Investigation Authorization and Instructions

In connection with your application for a volunteer position with Covenant Presbyterian Church, you have agreed to authorize a background investigation. To ensure that your rights are protected, this investigation will be conducted by the following Consumer Reporting Agency:

The Cromwell Group, Inc.
100 Chase Park South, Ste 112
Birmingham, AL 35244

This investigation will be conducted in compliance with federal law, which provides specific protection to you, as stated in the following document: Summary of Your Rights Under the Fair Credit Reporting Act (FCRA) prepared pursuant to 15 U.S.C. Section 1681-1681u.

Click here now to read the above mentioned document.

On the next page, you will be guided through the process of signing an FCRA Compliant Authorization and Disclosure form authorizing this background investigation by The Cromwell Group, Inc. If you have any questions about the process or your rights in this matter, please contact The Cromwell Group, Inc. at (205) 823-4260.

To proceed, fill in the information requested below. ALL fields in red are required. When complete, click on the NEXT button:

CAUTION: If you have an auto fill function enabled on your browser, check to see that it did not populate any additional AKA or Prior Address fields with incorrect data. If it did, erase what was added in these fields before hitting the NEXT button at the bottom of the page.

First Name
Middle Name
Last Name
AKA First Name
AKA Middle Name
AKA Last Name
Street AddressFull Street Address
StateTwo Letters
Zip Code
SSN999999999 or 999-99-9999 format
Birth Date (DOB)YYYYMMDD format or MM/DD/YYYY format
Drivers License Number9 numbers only for AL
Issuing StateTwo Letters
Phone Number
Email Address
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