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Professional Services Agreement Contractor - …

Page 1 of 10 Professional Services Agreement Contractor VF-601 Rev. 29 10/9/18 Professional Services Agreement Contractor Instructions: Complete and return this Agreement to veriforce by fax at 281-715-5780 or email to Please note ALL pages must be initialed and returned to veriforce . You will receive email confirmation once the Agreement has been processed. This will include your VeriSourceTM software application login information. If you have any questions, please contact veriforce at 800-426-1604 or All initials and signature must be handwritten, not typed. Name of Hiring Client/Operator requiring your signup with veriforce (Required): Option 1: Check here if you have never executed a Professional Services Agreement with veriforce .

Page 3 of 11 ProfessionalServices Agreement – Contractor Initial 3. Cooperation in Audits. Contractor agrees to cooperatewith Veriforce when it conducts audits

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