Requestor Information

Enter your information EXACTLY as it appears on your Mississippi Driver License or your Identification Card and select CONTINUE.

WARNING: Misuse of this system to obtain criminal background information on someone other than yourself will subject you to criminal prosecution. Businesses or any third parties are prohibited from submitting background checks on behalf of employees, contractors, perspective employees or customers.

SSN:

Race:

Sex:

Male

Female

Other

Birth Month:

Birth Day:

Birth Year:

First Name:

Middle Name:

Last Name:

Suffix:

Requestor Information

Enter your information EXACTLY as it appears on your Mississippi Driver License or your Identification Card and select CONTINUE.

Do you have any previously used names? Add

Do you have any previously used names?