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Applicant background checks processed through the
Tennessee Applicant Processing Service (TAPS) may be billed directly to the
applicant’s employer or requesting agency (ORI HOLDER). This billing process is known as AGENCY
PAY. AGENCY PAY ·
This
is a voluntary payment option for ORI HOLDERs. ·
AGENCY
PAY participants will be issued a unique Agency Billing Code, returned to the
below listed person via email. ·
AGENCY
PAY participants will be responsible for payment of ALL background
check service charges incurred for transactions that use the Agency’s ORI and
the Agency’s Billing Code. ·
AGENCY
PAY accounts are billed automatically each month. ·
AGENCY
PAY accounts are required to register their applicants online at www.tennessee.cogentid.com. No telephonic enrollment is available for
AGENCY PAY ·
The
ORI Holder acknowledges that in the absence of this signed agreement,
applicants fingerprinted under the ORI Holder’s ORI will be designated as
APPLICANT PAY and the applicants will be responsible for prepayment of their
fingerprint services. By
signing this form,
Please
acknowledge that you have read, and agree to, the terms of this agreement by
completing the information below and returning this form via fax to
614-718-9694 or mail to Cogent Systems, 5450 Frantz Road, Suite 250 Dublin, OH
43016. |
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Agency Name: _____________________________ ORI Number
________________OCA (DCS Only)____________ Authorized
Person’s Name: ____________________________________ Title: ______________________________ Agency
Address 1: _________________________________
Agency Address 2: _____________________________ City:
Telephone
Number: ___________________________ Fax: _____________________________ |
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Attention:
______________________________________________________________________________________ Street1:
_________________________________________ Street2:
_______________________________________ City:
Telephone
Number: ___________________________ Fax: _____________________________ By:
________________________________________________________ Date: ____________ |