First Advantage SSA-89 Form Download & Sample

To aid you in completing the SSA-89 Form requested in notification email that reads "Action Required: Missing Information for Employment Screen".

Download this sample to assist you in completing the actual form here. 

Scan the document into pdf format, login into your Arise portal and upload the form in the section requested by First Advantage/Arise.

If Arise portal doesn't let you upload pdf document email to or fax 1-770-753-1026.

​Please include your name and order number (CID) in your response and expect a 24 hour delay when sending information by fax or email.

For support from First Advantage contact them: