Applicant background checks processed by Cogent Systems for the Alabama State Department of Education (ALSDE) may now be billed directly to the applicants employer or requesting agency. This billing process is known as AGENCY PAY. This billing process allows applicants that 1) present a valid Agency Billing ID (ABID) during the registration process 2) request AGENCY PAY , to have background charges billed to the ABID HOLDER.

AGENCY PAY

         Is a voluntary payment option. It is not a requirement for any employer or agency to enroll in AGENCY PAY.

         As an ABID HOLDER it is your responsibility to safeguard the use of your ABID. Unauthorized use of your ABID is the ABID HOLDERs responsibility.

         The ABID HOLDER is responsible for payment of background check service charges incurred for ALL applicants registered and fingerprinted using the ABID.

         AGENCY PAY accounts are billed automatically each month.

 

By signing this form,

  • You authorize Cogent Systems to render fingerprint services for applicant background checks to ALL applicants that are registered using your ABID number.
  • You acknowledge that Cogent Systems does not possess the means to validate who may/may not use your ABID number and therefore, cannot be held responsible for non-authorized fingerprint services rendered to applicants in possession of your ABID.
  • You are responsible for registering your own applicants online at https://www.aps.gemalto.com. By registering your own applicants the ABID HOLDER safeguards the use of its own ABID.
  • You authorize the monthly accumulation of fingerprint charges incurred by applicants registered and fingerprinted with your ABID to be billed to the below listed authorized individual/ABID holder.
  • You understand that payment in full is required within thirty (30) days of invoice receipt. Failure to keep your account current will result in the loss of your ability to use the AGENCY PAY feature or possibly, the electronic applicant background check service.
  • You authorize the AGENCY PAY payment designation to remain in effect for your ABID until cancelled, in writing. Once cancelled, the payment option for your Company or Agency will default to APPLCIANT PAY

 

Agency Billing ID - This code will be provided to you by Cogent Systems upon approval of this agreement.

 
Please acknowledge that you have read and agree to the terms of this agreement by completing the information below and signing. This form may be faxed to 626-325-9123 or returned to Gemalto Cogent, APS Department #165
2964 Bradley Street
Pasadena, CA 91107
Attn: Agency Pay.

 

Agency Name: _________________________________ Agency ABID__________________________________________

 

Authorized Persons Name: ________________________________________ Title: ________________________________

 

Agency Address 1: ____________________________________ Agency Address 2: _______________________________

 

City: ____________________________ State: ______ Zip: ____________ email: __________________________________

 

Telephone Number: ___________________________ Fax: _____________________________

 

Billing Address (check if same as above )

 

Attention: ___________________________________________________________________________________________

 

Street1: ______________________________________________ Street2: _______________________________________

 

City: ______________________________ State: __________________ ZIP: _____________________________________

 

Telephone Number: ___________________________ Fax: _____________________________

 

By: ________________________________________________________ Date: ____________