13. Attestation of Compliance with Background Screening Requirements

Print name on pages 1 & 4. Sign your name on page 4 and put “Owner” for title.

 

All pages of this form must be uploaded to your submission page.

Hand sign (NO digital signatures) and upload to your Submission Page”.

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8001 Beaty Grove Dr.

Tampa, FL 33626

Office: 813.926.5454

Email: newclients@fullspectrumaba.com

Fax:     813.920.9252

5810 Shelby Oaks Dr. Suite B

Memphis, TN 38134

Office: 901.295.2523

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