CIAA CSO Application for Services
Complete the application below and schedule your discovery call. When approved, you will receive your login information and access to our training and support.
Name
*
First Name
Last Name
Suffix
Company
*
Job Title
Phone Number (Direct)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
What State(s)Are You Licensed To Do Business?
*
Please List All States, If Nationwide Type "National" (EX: NC,VA,WV,FL,ETC)
How Long Have You Been In Business?
*
Please Select
Less Than 1 Year
1-3 Years
4-10 Years
More Than 10 Years
What Is Your Average New Client Volume Monthly?
*
Are You Interested In Being A Beta Tester For Our Software & Future Product Updates & Releases?
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Yes
No
What CIAA Product(s) are you interested in using? (Select all that apply)
*
Quantum Matrix Dispute Technology™ Only
CRM
White Lable Company Website
Funnels & Automations
Are You Familiar With Metro2 Requirements & How Metro2 Relates To The Fair Credit Reporting Act (FCRA)?
*
Please Select
Yes
No
Somewhat - I need more training on Metro2 standards
A Compliance Audit Is Required Before Using Our Services (IE: Surety Bond, Business License, Client Contracts, Business Practices, ETC). Are You Willing To Undergo An Audit To Ensure Compliance With CROA, State Specific Laws, ETC? Note: We may ask for documentation as proof of compliance.
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Yes
No
Have You Been Or Are You Currently Under Investigation Or Involved In Litigation For Any Violation Of Any Federal Or State Law?
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Yes
No
If You Answered Yes, Please Explain
*
Do You Currently Have A Partnership With A Consumer Attorney Where You Refer Clients? (Note: As part of your service agreement, you will be required to keep all cases of clients in the CIAA system with a CIAA Attorney, We would love for your attorney to be a part of CIAA!)
*
Yes, for FDCPA cases only.
Yes, for FCRA cases only.
Yes, for both FCRA and FDCPA cases.
No, I have no affiliate relationship with a consumer attorney.
If so, Please Provide Attorney's Name And Contact Information.
Name, Firm Name, Email or Phone. Please Let Your Attorney Know CIAA will be contacting them.
Submit Application
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