Name: Signal Health Group
Address: 10475 Crosspoint Blvd, Indianapolis, IN, 46256, US
Telephone: 800-953-6183
Price range: $$

VERIFICATION OF RECORDS SEARCH

Employee’s Name
Employee Title
Date of Hire
Date of Verification
All Record Search performed by
BG	OIG	Registry
License	E-verify	CPR
Copies
TB	REF (2)	SS
DL	PHY	INS
Other
ISSUES:
BG	OIG	Registry
License	E-verify	CPR
TP	RE(2)	SS
DL	PHY	INS
Other
I have verified the criminal record search of the above individual according to the Agency policy. This employee is in good standing with the Indiana Department of Public Safety from their records.
Signature		Date

VERIFICATION OF RECORDS SEARCH