Internal Onboarding Form
To get started lets find out how you heard about us

Lets find you in our system. All fields in the section must be filled to complete this form.

on a mobile device you may have to click somewhere off the field to get it to trigger after you’ve typed your number.

State and Campaign

On some devices you can type the name of your state or country to find it quicker
Are you Applying as Business or Individual *

Business Information

Are you using a DBA? *
Business Address *
Business Address
City
State/Province
Zip/Postal
Country

Personal Info

Select your agent ID
Do you have a middle name? *
Have you used any other names in the past? *
Shirt Size

Lifeline Rad ID Required

If you have not already done so, agents must request a RAD ID by visiting this link.

Brand Troops Rad ID Registration

Please Note: RAD is not an automatic process. FCC/USAC.org requires each and every agent to enroll and get registered in the DATABASE.

Maximum file size: 6MB

To find the your Rad ID email search your inbox for noreply@usac.org alternatively search the subject Rad Representative Registration.

Home Address *
Home Address
City
State/Province
Zip/Postal
Country
Shipping Address *
Shipping Address *
Shipping Address
City
State/Province
Zip/Postal
Country

Release Authorization Background Check Form

 

In connection with my Independent Agent Agreement, I understand that an investigative consumer report may be requested that will include information as to my character, work habits, performance, and experience, along with reasons for termination of past employment. I understand that as directed by company policy and consistent with the job described, you may be requesting information from public and private sources about my: workers’ compensation injuries, driving record, court record, education, credentials, credit, and references.

Medical and workers’ compensation information will only be requested in compliance with the Federal Americans with Disabilities Act (ADA) and/or any other applicable state laws. According to the Fair Credit Reporting Act, I am entitled to know if contract is not accepted because of information obtained by the contracting company from a consumer-reporting agency. If so, I will be notified and given the name and address of the agency or the source which provided the information.

I acknowledge that a facsimile (FAX) or photographic copy shall be as valid as the original. This release is valid all most federal, state and county agencies including all state Departments of Labor.

If you want a copy of the report(s) ordered, check the box when prompted below.

The report(s) will be sent to you at the address below.

I hereby authorize, without reservation, any law enforcement agency, institution, information service bureau, school, employer, reference or insurance company contacted by the reporting agency or its agent, to furnish the information described in Section 1. The following information is required by law enforcement agencies and other entities for positive identification purposes when checking public records. It is confidential and will not be used for any other purposes. I hereby release the contracting company and agents and all person, agencies, and entities providing information or reports about me from any and all liability arising out of the requests for or release of any of the above mentioned information or reports.

I acknowledge that the foregoing authorization shall continue in force until revoked by me in writing.

The Following states require sex and race to obtain information:  AL, AR, FL, GA, IA, IN, OR, TX, WI. *

Maximum file size: 8MB

Maximum file size: 8MB

American Broadband/Assistance

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Lifeline tier model

Lifeline tier

Substitute for Form W-9 Request for Taxpayer Identification Number

This is the same information requested on the IRS W9 form.

To view directions click here Form W9


Pursuant to Internal Revenue Service Regulations, you must furnish your Taxpayer Identification Number (TIN) to Brand Troops Inc. If this number is not provided, you may be subject to a 31% withholding on each payment. To avoid this 31% withholding and to insure that accurate tax information is reported to the Internal Revenue Service, please use this form to provide the requested information.


PRIVACY ACT STATEMENT

Section 6109 of the Internal Revenue Code requires you to give your correct Taxpayer Identification Number (TIN) to persons who must file information returns with the IRS to report interest, dividends, and certain other income paid to you, mortgage interest you paid, the acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. The IRS will use the numbers for identification purposes and to help verify the accuracy of your tax return. The IRS may also provide this information to the Department of Justice for civil and criminal litigation and to cities, states, and the District of Columbia to carry out their tax laws. You must provide your TIN whether or not you are required to file a tax return. Payers must generally withhold 30% of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to a payer. Certain penalties may also apply

3a. Check appropriate box for federal tax classification; check only one of the following seven boxes: *
3b. Limited liability company is selected, Enter the tax classification. Note. For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for the tax classification of the single-member owner.
(Applies to accounts maintained outside the U.S.)
(Applies to accounts maintained outside the U.S.)
Taxpayer Identification Number (TIN): Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. *
If this number is wrong. You can go back and correct it in the Background Check Section.
If this number is wrong. You can go back and correct it in the Business Information Section.

AUTHORIZATION AGREEMENT FOR DIRECT DEPOSITS (ACH CREDITS)

 

I (we) hereby authorize called COMPANY, to initiate credit and, if necessary, debit entries and adjustments for any credit entries in error to my (our): (select one) Account type: indicated below, at the depository Financial Institution named below, and to credit or debit the same from such account. I (we) acknowledge that the authority will remain in effect until I have (or either of us) cancelled it in writing and that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law.

This authorization is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time, and in such manner as to afford COMPANY and Financial Institution a reasonable opportunity to act on it.

Account Type *

Attestations’

Things you should understand before you proceed