Identity Verification ID Check

IDENTITY VERIFICATION ID CHECK

RECITALS

WHEREAS, Client Name: (the "Client") has requested identity verification services; and

WHEREAS, Verifier Name: (the "Verifier") is engaged to perform photographic and documentary identity checks in accordance with the terms set forth in this Agreement;

WHEREAS, the parties wish to document the scope, payment, confidentiality and legal terms governing the provision of identity verification services and the recordation of identification data.

SCOPE OF WORK

Services will include inspection of original identification documents, photographic capture, comparison against provided records, recording of identification attributes and a written verification statement. Verification performed:

IDENTIFICATION RECORD

Identification Presented: Driver's License Passport State ID Other

Copy of ID Provided to Verifier: Yes No

PAYMENT TERMS

Fee for Services: $

Late Fee: . Client agrees to reimburse reasonable collection costs and interest on overdue amounts as provided above.

TERM AND TERMINATION

This Agreement commences on Start Date: and will terminate on End Date: unless earlier terminated in accordance with this section.

Either party may terminate for convenience upon Notice Period (days): days' written notice. Termination for material breach may be effective immediately where the breach is not cured within thirty (30) days of written notice.

CONFIDENTIALITY

The parties agree that all personal data, copies of identification documents, photographic material and verification reports (collectively, "Confidential Information") are confidential. The Verifier shall use Confidential Information solely to perform the obligations set forth herein and shall not disclose such information except to the extent required by applicable law or with the prior written consent of the Client. The Verifier shall employ reasonable administrative, technical and physical safeguards to protect Confidential Information.

The Client acknowledges that the Verifier may retain records of the verification as required for audit, compliance and business record purposes, and such retention shall be governed by the Confidentiality obligations above.

CERTIFICATION AND AUTHORIZATION

The Client or Subject hereby certifies that the information supplied is true and correct to the best of their knowledge and expressly authorizes the Verifier to examine presented identification and to make inquiries reasonably necessary to confirm identity. The Client acknowledges that false representation may subject the Client to civil or criminal liability under applicable law.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

ENTIRE AGREEMENT

This Agreement constitutes the entire agreement between the parties regarding the subject matter herein and supersedes all prior and contemporaneous agreements, understandings and communications, whether written or oral, relating to identity verification services. Any amendment must be in writing and signed by both parties.

VERIFIER ATTESTATION

The undersigned Verifier certifies that they inspected the original identification document(s) listed above, compared the document(s) to the person presenting them, and recorded the results in this form. Verifier Name:

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