Sign Up for Social Service Verification

Enhance your government assistance program with real time employment and income verifications. 
looking to sign up for government benefits?
Please visit your state government website.

Please note the sign up form below is intended for government agencies who are requesting employment and income verifications for a fee. This is not a channel for individuals to apply for government benefits.

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Step 1

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Step 2

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Step 4

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ENTER YOUR AGENCY INFORMATION

Fill in details about your agency here.

Step 1 of 4

ENTER YOUR AGENCY INFORMATION

Fill in details about your agency here.
Will verifications be stored at the legal address? *
Yearly Expected Usage *
Next: Agency type
') } else { if($('#government-sign-up').parsley().validate('step-4')){ var analyticsFourthValue= $('input[name=mainContactSigner]:checked', '#step-4').val(); dataLayer.push({ 'event': 'completedStep', 'stepNumber': 'four', 'formType': 'government', 'key': analyticsFourthValue }); var url = "https://mailengine.equifax.com/contactus"; data = $('#government-sign-up').serialize(); $.ajax({ url: url, type: 'post', data: data, success: function (msg) { window.location.href = "//theworknumber.com/thank-you"; }, }); }} }); /* generic function to validate fields of a specific section*/ function validateInformation(current, next, section) { if ($('#government-sign-up').parsley().validate(section)) { var stepNumber = ""; if(section ==="step-1"){ stepNumber = "one"; analyticsValue= $('input[name=verificationsStored]:checked', '#step-1').val() + "-" +$('input[name=expectedUsage]:checked', '#step-1').val(); } else if(section ==="step-2"){ stepNumber = "two"; } else{ stepNumber = "three"; } if(stepNumber !== ""){ dataLayer.push({ 'event': 'completedStep', 'stepNumber': stepNumber, 'formType': 'government', 'key': analyticsValue }); } $(current).stop().fadeOut(0); $(next).stop().fadeIn(1000); ScrollToSection(next); } } /* Function to go back to previous sections */ function goBack2Previous(previous, current) { $(current).stop().fadeOut(0); $(previous).stop().fadeIn('slow'); ScrollToSection(previous); } function ScrollToSection(section) { var mq = window.matchMedia('(min-width: 768px)'); var offset = 20; if (mq.matches) { offset = 200; } $('html,body').animate({ scrollTop: $(section).offset().top - offset }, 'slow'); } $(document).ready(function () { /* if verificationsStored No we display the field addressVerificationsStore Step 1 */ $("input[name=verificationsStored]:radio").click(function (ev) { if (ev.currentTarget.value == "No") { $('#addressVerificationsStoredContainer input').val(''); $('#addressVerificationsStoredContainer select').val(''); $('#addressVerificationsStoredContainer').stop().fadeIn('slow'); $('#addressVerificationsStoredContainer input').attr('data-parsley-required', ''); $('#addressVerificationsStoredContainer select').attr('data-parsley-required', ''); } else { $('#addressVerificationsStoredContainer').stop().fadeOut('slow'); $('#addressVerificationsStoredContainer input').val(''); $('#addressVerificationsStoredContainer input').removeAttr('data-parsley-required', ''); $('#addressVerificationsStoredContainer select').val(''); $('#addressVerificationsStoredContainer select').removeAttr('data-parsley-required', ''); } }); /* Conditions for agencyType step 2 */ $("input[data-parsley-multiple=agencyType]:checkbox").click(function (ev) { var agencyType = $(this).val(); switch (agencyType) { case "Apartment Complex / Property Management": if ($("#apartmentManagement").is(":checked")) { $('#unitsWrapper input').val(''); $('#unitsWrapper').stop().fadeIn('slow'); $('#unitsWrapper input').attr('data-parsley-required', ''); } else { $('#unitsWrapper input').val(''); $('#unitsWrapper').stop().fadeOut('slow'); $('#unitsWrapper input').removeAttr('data-parsley-required', ''); } break; case "Housing Authority": if ($("#housingAuthority").is(":checked")) { $('#housingAuthorityUnitsWrapper input').val(''); $('#housingAuthorityUnitsWrapper').stop().fadeIn('slow'); $('#housingAuthorityUnitsWrapper input').attr('data-parsley-required', ''); } else { $('#housingAuthorityUnitsWrapper input').val(''); $('#housingAuthorityUnitsWrapper').stop().fadeOut('slow'); $('#housingAuthorityUnitsWrapper input').removeAttr('data-parsley-required', ''); } break; case "Other": if ($("#Other").is(":checked")) { $('#OtherProgramWrapper input').val(''); $('#OtherProgramWrapper').stop().fadeIn('slow'); $('#OtherProgramWrapper input').attr('data-parsley-required', ''); } else { $('#OtherProgramWrapper input').val(''); $('#OtherProgramWrapper').stop().fadeOut('slow'); $('#OtherProgramWrapper input').removeAttr('data-parsley-required', ''); } break; } }); /* Conditions for agencyPrograms step 3 */ $("#noneAbove").click(function (ev) { if ($("#noneAbove").is(":checked")) { $('#NoneAboveApply2Wrapper input').val(''); $('#NoneAboveApply2Wrapper').stop().fadeIn('slow'); $('#NoneAboveApply2Wrapper input').attr('data-parsley-required', ''); } else { $('#NoneAboveApply2Wrapper input').val(''); $('#NoneAboveApply2Wrapper').stop().fadeOut('slow'); $('#NoneAboveApply2Wrapper input').removeAttr('data-parsley-required', ''); } }); /* if mainContactSigner No we display the contractSignerFields */ $("input[name=mainContactSigner]:radio").click(function (ev) { if (ev.currentTarget.value == "No") { $('.contractSignerFields input').val(''); $('.contractSignerFields').stop().fadeIn('slow'); $('.contractSignerFields input').attr('data-parsley-required', ''); } else { $('.contractSignerFields').stop().fadeOut('slow'); $('.contractSignerFields input').val(''); $('.contractSignerFields input').removeAttr('data-parsley-required', ''); } }); }); $(document).ready(function() { $('[data-toggle="tooltip"]').tooltip(); });