BACKGROUND CHECK AUTHORIZATION

Background Check Authorization Submission

Please complete this form accurately so U & I Home Care can continue processing your application.

NEED THE MAIN APPLICATION?

Start or continue your caregiver application.

Go To Application

QUESTIONS?

Call (734) 212-6929

Call Hiring Team

APPLICATION PROCESSING

Applicant Details

Start with the applicant and position details.

Applicant Full NamePosition Applied For

Identity Information

Enter the legal identity information used for background review.

Legal First NameLegal Last NameSocial Security NumberDate of BirthFull AddressCountyState of BirthCitizenship

Physical Description

Provide the identifying details used on the authorization summary.

HeightWeightHair ColorEye ColorRaceContinuously resided in Michigan since 08/26/2024?

License and Contact

Enter driver’s license and contact information.

Driver’s License NumberDriver’s License StatePhone NumberEmail

I confirm that the information provided is accurate and I authorize U & I Home Care to use this information for background check processing related to my application.