Online Payment - Level 2 Background Screening Services

MASK Optional FOR your screening appointment!

If you suffer from ANY OF THE FOLLOWING SYMPTOMS:

COUGH, SNEEZE, SORE THROAT, RUNNY NOSE, FEVER, ANY COLD/FLU TYPE SYMPTOMS

Please call the screening location and reschedule the appointment for another day.

Use this form to pay for your live scan level2 fingerprinting appointment. The fee is $100 plus local sales tax for each screening. After payment, you will be directed to an area to schedule a date and time. Level2 Background Screening Services LLC does not provide refunds for missed appointments, however; for those that miss appointments, the customer can reschedule and pay a reschedule fee.
Person being screened:*
Contact Phone #*
Level 2 Live scan screening location*
- Level2 Jacksonville - 1626 Camden Avenue
- Level2 Riviera Beach - 4910 Dyer Blvd
Level 2 Live Scan screening cost includes required State of Florida sales Tax
ORI Number*
Agency where your results are to be sent. For example, EAHCA020Z is used by AHCA. Contact your employer or licensing agency for this number.
This field is hidden when viewing the form
How Many People Are You Paying For:*
Enter the number of screenings
Screening Total Charge:
$0.00
Credit Card*
Card Details
Cardholder Name
Credit Card Billing Info*
ZIP / Postal Code
Send Receipt to This Email Address*
- As the holder of the above listed credit card, I request that the above fees be charged to my credit card.
Signature*
Customer Signature
After YOUR registration has been submitted, you will be allowed to set your appointment date, time and location of your choice, depending on availability
Email
This field is for validation purposes and should be left unchanged.