Request to Merge Accounts in DaySmart

Request to Merge Accounts in DaySmart
Requestor

First NameLast Name
This request involves...
Have we received a change of ownership signed (and notarized if applicable)?
Accounts cannot be merged without this document. Please get this document signed and check a valid id before submitting this request.
The first client will become the primary account.
Client's Name

First NameLast Name
Client's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Client's Email
example@example.com
Secondary Client's Name

First NameLast Name
Secondary Client's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Client's Email
example@example.com
Total Number of Accounts to be Merged
Address Information
What is the correct address?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Information
Should be Empty: