Background Application Request
Complete the information below, once payment has cleared please allow up to 10 business to process a regular background check, or 2 business days for a rush background. Please note that both steps listed on the previous page need to be completed in order for the application to be processed.

                                                  **** ONE FORM PER PERSON****

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Email *
Property Manager/Owner Email Address *Your answer *
ICW Unit you are applying for - Front units use unit# + .5  (Example: 984.5) *
ICW Street *
Full Name (First and Last Name) *
Phone number *
Only numbers no dashes 
Last four of your social security *
How many people (including you) over the age of 18 are applying to this unit? *
Payment Date *
MM
/
DD
/
YYYY
Are you paying the extra $35 for Rush Background? *
Rush Background Payment Reference# (provided by the payment system)
Confirm Amount to be Paid *
Agree to complete step #2 for the Background Check. Application will NOT be processed until step 2 is completed. *
Required
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