After Hours Appointment Form If you need a SPECIAL After Hours Appointment utilize this form. After Hours Appointments are available M-F 5pm-9pm and Weekends 9am-5pm. There is a price increase for after hours appointments. 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. This Payment is for Who:*ONLY enter ONE Applicant per REGISTRATIONORI Number*Enter the State ORI# where the Results will be Transmitted. Appointment Time* : HH MM AM PM Enter the preferred Time you would like for the weekend between 9am and 4pm or for after hours Weekdays, Enter a time between 5pm and 9pm. We will CONTACT YOU to confirm the time and availability. Times selected outside of this perimeter will not be scheduled.Appointment Date* Date Format: MM slash DD slash YYYY Enter the After Hours Appointment Date Contact Phone #*Total# of ScreeningsPlease enter a number from 1 to 100.Level2 Livescan Screening Location*Level2 Stuart; 5534 S Kanner HighwayLevel2 Jacksonville; 1626 Camden AvenueLevel2 Riviera Beach; 4910 Dyer BlvdLevel2 LiveScan Screening Cost includes required State of Florida Sales TaxTotal $0.00 Credit Card* Card Details Cardholder Name Credit Card Billing Info* ZIP / Postal Code Send Receipt to This Email Address* * By clicking this box I am requesting as the credit card holder to charge the credit card listed above the amounts indicated above. Signature*Customer Signature HERECAPTCHANameThis field is for validation purposes and should be left unchanged.