BACKGROUND CHECK AUTHORIZATION

Complete Background Check Authorization

Only complete this form after you have submitted an application and U & I Home Care requested your background check.

This is not the employment application.

If you have not applied yet, start with the Employment Application.

Continue Background Check Go to Employment 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 Birth

State of BirthCitizenship

Address

Use the address suggestions when possible so county can be confirmed.

CountryAddress

CityStateZip CodeCounty

Physical Description

Provide the identifying details used on the authorization summary.

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

Upload ID and Contact

Enter driver’s license, upload, and contact information.

Driver’s License NumberDriver’s License StateUpload Driver’s License / State ID

Upload a clear PDF or image of the front of your driver’s license or state ID.

Phone NumberEmail

Authorization / Signature

Review and authorize this background-check submission.

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.