New Client Sign-Up Form
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View Terms and Conditions
[Application Instructions]
Please select the services you are interested in applying for:
Factual Data
Credit Services
Client shall use a consumer report only when it has a permissible purpose as that term is
defined under the 15 U.S.C. §1681b (§604 of the FCRA) and other applicable federal and state laws. Specifically, Client certifies that it will only request
and use a consumer report in accordance with the purposes selected below: |
2nd Mortgage / Home Equity
Account Review of existing portfolio to ensure terms are being met
Up to 90 days quality control Acccount Review for mortgages
Account Review prior to loan closing
Secured or Unsecured Consumer Loans
Auto Loans
Collections
In addition, if Client uses a consumer report for collecting an account, Client certifies that it will
request and use a consumer report for collection purposes only when collecting an obligation arising from a transaction voluntarily initiated by the consumer
or an obligation that has been judicially established by a court order or judgment.
Undisclosed Debt Monitoring
Others (List specific loan type:)
When it has a legitimate business need for the information in connection with a business transaction initiated by
the consumer or to review an account to determine whether the consumer continues to meet the terms of the account. If selected, Client must also provide a copy of the consumer application. Client’s use is specifically for:
In connection with a business transaction initiated by the consumer (e.g. charge accounts, net 30).
Opening of new deposit account
Commercial credit reports accessed on business entities
In accordance with the written instructions of the consumer to whom it relates. Client shall include in the written
request the specific reason(s) for obtaining the consumer report. If on the same form, Client seeks consent from the consumer to access or obtain records or items
(e.g. medical records or financial account records) in addition to a consumer report, Client must separately delineate the request for a consumer report by using
a check mark or an “x” on the form next to its consumer report request. Client will use a consumer report only for the specific reasons provided in the written consent.
Client shall maintain copies of the consumer’s express written consent for five years. If requested by Company, Client will provide Company a copy of the written instructions
within 5 business days of the request. If selected, Client must also provide a copy of the consumer application. Client’s use is specifically for:
Mortgage Prequalification
Non-Profit Housing Counseling
Consumer reports accessed for commercial credit with a personal guarantee
Client must also provide proof of personal liability
Other (List specific purpose):
In connection with the underwriting of insurance involving the consumer
As a potential investor or servicer, or current insurer, in connection with a valuation of, or an assessment of the credit
or prepayment risks associated with, an existing credit obligation
In connection with a determination of the consumer’s eligibility for a license or other benefit granted by a governmental
instrumentality required by law to consider an applicant’s financial responsibility or status.
Additional Services
Identity Cross Check
Client certifies that it will only request and use Identity Cross Check to protect against or prevent actual or potential fraud, unauthorized transactions, claims or other liability.
Military Lending Act
DataVerify
DRIVE Risk & Fraud Prevention
Flood Zone Determination
Additional Services
4506-T (Tax Return Verification)
SSA Verification
AVM / HVE |
CLIENT INFORMATION FORM |
Requested Services: | |
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Does your company share office space with another company/entity? | |
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Does your company have any operations or agents outside the U.S. or territories that will be accessing Factual Data information? | |
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Business Information |
Is your business or company associated with credit repair? | |
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(required, select either yes or no) |
Will 3rd party processing and/or fulfillment company require access to reports you originate? | |
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Date your business or company was opened | |
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Estimated Report Volume | |
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(Average number of reports pulled within one business month) |
Loan Origination System | |
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Please provide as much of the following information as possible.
If any fields are left incomplete, the processing of your application will be delayed.
Is your company a State or Federal Bank, Credit Union, or Savings and Loan? | |
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Business Structure | |
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(select form of business) |
Have you used Factual Data services before? | |
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Comments or additional information that may help us process your application: | |
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