AGENT REGISTRY PLEASE READ THE FOLLOWING INFORMATION BEFORE COMPLETING THIS FORM: This Form is ONLY for use by licensed real estate professionals and personnel who are affiliated with one of our existing, credentialed, end-user accounts. We invite all Realtors®, Agents, and personnel who are currently affiliated with one of our existing, credentialed, end-user accounts to register with us by completing this form. IF YOU ARE A TENANT - Please DO NOT complete this registration form. If you wish to place an order for reporting, TENANTS please CLICK HERE If you need to reach us for assistance please use the "Contact Us" link located at the top of this page. ________________________________________ For the Real Estate Professional: Please use this form to register with us. Registration is required one time only, prior to the first use of our service. If you have received reports from us in the past, registration is NOT necessary however you may use this form to update your existing agent record with us in the event a change to your company-issued email address or your mobile phone number has occurred. Please use the field provided at the bottom of the page to provide us with the information you wish to have updated. Thank you! For security purposes, all information will be reviewed and verified prior to publication in our secure delivery system. A confirmation email will be sent to you immediately, once this has been completed. Please wait for our email before attempting to use our service for reporting. Thank you. Please select either NEW or EXISTING Only choose EXISTING if you've registered with us at any time in the past, having used our service and now need to update us with any changes to your information on file. * (Use the comments box provided below to include a note about the information we currently have on file. We will locate and update your existing agent information) New Existing Next, Please Select Your Company Affiliation: * Click Here To Select Affiliation with one of the companies listed in the drop-down menu provided above is required. If you are not affiliated with one of the companies listed in our drop down menu we are unable to provide service and registration will not be possible. If you are a Non-Affiliated Realtor®, real estate professional or property manager and would like to request information about establishing company-wide service, please CLICK HERE Please provide YOUR NAME AND E-MAIL INFORMATION First Name: * Last Name: * Work Email Address (all lower case letters only PLEASE): * Please re-enter your Work Email Address: * IMPORTANT INFORMATION - PLEASE READ THE FOLLOWING ABOUT EMAIL ADDRESSES: The email address you are providing MUST BE 100% ACCURATE! Please check the address for errors prior to submitting this form. You are providing the email address for the delivery of all consumer reports. These are confidential documents containing sensitive consumer data. Any errors in the email address you provide may result in deliverability issues or potentially placing reports in the hands of an unintended recipient. It is your responsibility and obligation to provide accurate information on this registry form. Failing to do so can lead to an unintended violation of federal law along with any and all applicable fines and penalties. For security reasons, we will deliver to an acceptable work domain only. It is possible that a personal or non-company email address with a domain such as gmail, yahoo, aol, msn, live, hotmail, etc. or a vanity domain such as email@example.com MAY NOT BE ACCEPTED. Acceptable email addresses have been pre-determined based on your company affiliation. Your Mobile/Cell Phone Number: * Please provide the email address of the Authorizing Individual who has been assigned to your office/company account. This is typically your broker, manager, office leader or market center administrator: * If the email address of your assigned Authorizing Individual was entered accurately, it will populate their name here: The STREET Address of your Office's Location: * The CITY of your Office's Location: * The STATE of your Office's Location: * The ZIP Code of your Office's Location: * The Main Phone Number in the Above Office Location: * If you are updating an existing registry... Please let us know about your updates in the field below. It is helpful to include previous information on file... examle: name change, cell number change, change of company-issued email. Or simply feel free to use this field to include any message or questions you may have: THANK YOU! BY SUBMITTING THIS AGENT REGISTRATION, YOU UNDERSTAND AND AGREE TO THE FOLLOWING: YOU HAVE READ, UNDERSTAND AND AGREE TO OUR TERMS OF SERVICE. To read our Terms of Service, please click here: https://www.tenantverify.net/terms.htm YOU UNDERSTAND AND AGREE that all reports received from Tenant Verify LLC will be used for the sole purpose of tenant screening, pursuant to a rental application. YOU UNDERSTAND AND AGREE to use all reports in accordance with credit bureau rules and The Fair Credit Reporting Act, 15 U.S.C. § 1681 (“FCRA”) the Federal Government's legislation, which has been enacted to promote the accuracy, fairness, and privacy of consumer information contained within the files of consumer reporting agencies. THE FCRA (Fair Credit Reporting Act) PROVIDES THAT ANY PERSON WHO KNOWINGLY AND WILLFULLY OBTAINS INFORMATION ON A CONSUMER FROM A CONSUMER REPORTING AGENCY UNDER FALSE PRETENSES SHALL BE FINED UNDER TITLE 18 OF THE UNITED STATES CODE OR IMPRISONED NOT MORE THAN TWO YEARS, OR BOTH. YOU UNDERSTAND AND AGREE that it is not permissible to provide a copy of the reports received from Tenant Verify LLC to the consumer who is the subject of the report(s). YOU UNDERSTAND AND AGREE to maintain accurate registration details with us. In the event you are no longer employed by, affiliated or associated with the end user brokerage firm under whose company name you are registering today, you will cease and desist from all use of Tenant Verify LLC's services. YOU UNDERSTAND AND AGREE that Tenant Verify is not able to deliver reports to anyone who is not employed, associated or affiliated with one of our end used brokerage firms. Any change in employment, association or affiliation with the end user brokerage firm under whose company name you are registering today will require amending your registration details to accurately reflect your employment, association or affiliation with another of our end user brokerage firms. Fields marked with * are required.