LCR Application

1 Contact, Education and Employment
2 A few questions
  • Contact information

  • Required for issuance of 1099 Tax Form at year end. (At minimum you must enter first 5 digits. We can obtain last 4 from your CBC)
  • Educational Background

  • Current employment

  • Past Employment

  • Professional or Personal References

    Please list 4 references. References should be from employer or close friend, cannot be from a relative. Your references will be contacted and verified.