I have reviewed and understand the benefits of the LegalShield membership and marketing plan.

I have read the company policies and procedures  and agree to abide by them.

I have read and agree to the terms of the background check policy, which are as follows:

By submitting this application, I understand that LegalShield may procure a consumer report and/or investigative consumer report on me. I also understand that at LegalShield discretion subsequent consumer and/or investigative consumer reports may be procured during the term of my contract with LegalShield. These above-mentioned reports may include a social security number verification.

I understand that I am entitled to a complete and accurate disclosure of the nature and scope of any investigative consumer report of which I am the subject upon my written request, if such is made within a reasonable time after the date hereof. I may receive a written summary of my rights under 15 U.S.C. § 1681et. seq. and Cal. Civ. Code §1786. My independent contractor position with LegalShield is contingent upon the successful completion of the above referenced investigative consumer report.

I accept the placement of my Associate Agreement in the organization of the sponsoring Associate LS IT TEST ONLY.

I understand this agreement is subject to approval by a duly authorized officer/representative of LegalShield.

Under penalties of perjury, I certify that:
(1) the number shown in this application is my correct taxpayer identification number and (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified that I am no longer subject to backup withholding. Note: You cannot agree to item (2) above if you have been notified by the IRS that you are currently subject to backup withholding because of underreporting interest or dividends on your tax return.