Requestor Account Setup

User Information

User name: User Name must be between 3 and 16 characters, begin with a letter and contain only letters, numbers, and a hyphen (-).
The username created will be used as your login to VerifyAdvantage^TM.
Password: Password must be minimum of 8 characters and contain at least one lower case letter, one digit and one special character.

User Name:

New Password:

Re-Type New Password:

E-mail:

Security Question:

Security Answer:

Check this box if your company will not be the end-user for all received reports and/or information.