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selfregistration.confirmation.com Open in urlscan Pro
2600:9000:223c:5600:1d:a624:42c0:93a1  Public Scan

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URL: https://selfregistration.confirmation.com/registration
Submission: On September 26 via manual from IL — Scanned from DE

Form analysis 1 forms found in the DOM

Name: avStartForm — 

<form _ngcontent-qir-c3="" bfmform="" name="avStartForm" novalidate="" class="ng-untouched ng-pristine ng-invalid ng-star-inserted">
  <div _ngcontent-qir-c3="" class="row">
    <div _ngcontent-qir-c3="" class="col-md-12">
      <h2 _ngcontent-qir-c3="" class="form-header" translate="GetStartedForm.InnerTitle">Enter some general information to get started.</h2>
    </div>
  </div>
  <div _ngcontent-qir-c3="" class="row">
    <div _ngcontent-qir-c3="" class="col-md-12">
      <div _ngcontent-qir-c3="" class="form-group"><label _ngcontent-qir-c3="" class="bento-label-required" for="firstName" translate="GetStartedForm.FirstName" data-qe-id="conf-av-start-firstname-label">First name</label><input _ngcontent-qir-c3=""
          autofocus="" bfmfield="" bfmlabel="First Name" class="bento-input form-control ng-untouched ng-pristine ng-invalid" formcontrolname="fName" id="firstName" maxlength="100" name="firstName" type="text"
          data-qe-id="conf-av-start-firstname-input" aria-invalid="false"><bfm-error-container _nghost-qir-c6="" class="ng-star-inserted">
          <div _ngcontent-qir-c6=""><!----><!----><!----></div><!---->
        </bfm-error-container></div>
    </div>
  </div>
  <div _ngcontent-qir-c3="" class="row">
    <div _ngcontent-qir-c3="" class="col-md-12">
      <div _ngcontent-qir-c3="" class="form-group"><label _ngcontent-qir-c3="" class="bento-label-required" for="lastName" translate="GetStartedForm.LastName" data-qe-id="conf-av-start-lastname-label">Last name</label><input _ngcontent-qir-c3=""
          bfmfield="" bfmlabel="Last Name" class="bento-input form-control ng-untouched ng-pristine ng-invalid" formcontrolname="lName" id="lastName" maxlength="100" name="lastName" type="text" data-qe-id="conf-av-start-lastname-input"
          aria-invalid="false"><bfm-error-container _nghost-qir-c6="" class="ng-star-inserted">
          <div _ngcontent-qir-c6=""><!----><!----><!----></div><!---->
        </bfm-error-container></div>
    </div>
  </div>
  <div _ngcontent-qir-c3="" class="row">
    <div _ngcontent-qir-c3="" class="col-md-12"><confirmation-email-field _ngcontent-qir-c3="" frmcontrolname="email" labelname="EmailField.WorkEmail.Label" data-qe-id="conf-av-start-email">
        <div class="form-group ng-untouched ng-pristine ng-invalid"><label class="bento-label-required " for="EmailID">Work email</label><input bfmfield="" class="bento-input form-control ng-untouched ng-pristine ng-invalid" data-qe-id="conf-email"
            maxlength="250" name="EmailID"
            pattern="^((([a-zA-Z]|\d|[!#\$%&amp;'\*\+\-\/=\?\^_`{\|}~]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])+(\.([a-zA-Z]|\d|[!#\$%&amp;'\*\+\-\/=\?\^_`{\|}~]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])+)*)|((\x22)((((\x20|\x09)*(\x0d\x0a))?(\x20|\x09)+)?(([\x01-\x08\x0b\x0c\x0e-\x1f\x7f]|\x21|[\x23-\x5b]|[\x5d-\x7e]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(\\([\x01-\x09\x0b\x0c\x0d-\x7f]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF]))))*(((\x20|\x09)*(\x0d\x0a))?(\x20|\x09)+)?(\x22)))@((([a-zA-Z]|\d|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(([a-zA-Z]|\d|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])([a-zA-Z]|\d|-|\.|_|~|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])*([a-zA-Z]|\d|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])))\.)+(([a-zA-Z]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(([a-zA-Z]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])([a-zA-Z]|\d|-|\.|_|~|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])*([a-zA-Z]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])))\.?$"
            required="" type="email" id="EmailID" aria-invalid="false"><bfm-error-container _nghost-qir-c6="" class="ng-star-inserted">
            <div _ngcontent-qir-c6=""><!----><!----><!----></div><!---->
          </bfm-error-container></div><!---->
      </confirmation-email-field></div>
  </div><!---->
  <div _ngcontent-qir-c3="" class="row checkbox-section">
    <div _ngcontent-qir-c3="" class="col-md-12 req-options"><!----><label _ngcontent-qir-c3="" for="checkboxContainer" class="bfm-sr-only ng-star-inserted">What type of requests do you plan to send? (Select all that apply) </label>
      <fieldset _ngcontent-qir-c3="" bfmgroup="requests" bfmlabel="What type of requests do you plan to send? (Select all that apply)" class="col-md-12 flush-left ng-untouched ng-pristine ng-valid ng-star-inserted" formgroupname="requests"
        id="checkboxContainer" options="true" aria-invalid="false" aria-errormessage="notifycheckboxContainer"><!---->
        <legend _ngcontent-qir-c3="" class="col-md-12 ng-star-inserted"><span _ngcontent-qir-c3="" class="bento-label-required">What type of requests do you plan to send?</span><span _ngcontent-qir-c3="">(Select all that apply.)</span></legend>
        <!----><span _ngcontent-qir-c3="" class="col-sm-12 ng-star-inserted"><label _ngcontent-qir-c3="" class="checkbox-inline" data-qe-id="request-0-label" for="request-0"><bento-checkbox _ngcontent-qir-c3="" bfmfield="" bfmlabel="Requests"
              data-qe-id="request-0" class="ng-untouched ng-pristine ng-valid" aria-invalid="false"><input type="checkbox" class="ng-untouched ng-pristine ng-valid"
                id="request-0"><i aria-hidden="true" class="bui-checkbox-unchecked"></i><i aria-hidden="true"></i></bento-checkbox> Credit Inquiry </label></span><span _ngcontent-qir-c3="" class="col-sm-12 ng-star-inserted"><label
            _ngcontent-qir-c3="" class="checkbox-inline" data-qe-id="request-1-label" for="request-1"><bento-checkbox _ngcontent-qir-c3="" bfmfield="" bfmlabel="Requests" data-qe-id="request-1" class="ng-untouched ng-pristine ng-valid"
              aria-invalid="false"><input type="checkbox" class="ng-untouched ng-pristine ng-valid" id="request-1"><i aria-hidden="true" class="bui-checkbox-unchecked"></i><i aria-hidden="true"></i></bento-checkbox> Government Benefits Eligibility
          </label></span><span _ngcontent-qir-c3="" class="col-sm-12 ng-star-inserted"><label _ngcontent-qir-c3="" class="checkbox-inline" data-qe-id="request-2-label" for="request-2"><bento-checkbox _ngcontent-qir-c3="" bfmfield=""
              bfmlabel="Requests" data-qe-id="request-2" class="ng-untouched ng-pristine ng-valid" aria-invalid="false"><input type="checkbox" class="ng-untouched ng-pristine ng-valid"
                id="request-2"><i aria-hidden="true" class="bui-checkbox-unchecked"></i><i aria-hidden="true"></i></bento-checkbox> Mortgage QC Asset Reverification </label></span><span _ngcontent-qir-c3="" class="col-sm-12 ng-star-inserted"><label
            _ngcontent-qir-c3="" class="checkbox-inline" data-qe-id="request-3-label" for="request-3"><bento-checkbox _ngcontent-qir-c3="" bfmfield="" bfmlabel="Requests" data-qe-id="request-3" class="ng-untouched ng-pristine ng-valid"
              aria-invalid="false"><input type="checkbox" class="ng-untouched ng-pristine ng-valid" id="request-3"><i aria-hidden="true" class="bui-checkbox-unchecked"></i><i aria-hidden="true"></i></bento-checkbox> Verification of Deposit
          </label></span>
      </fieldset><!---->
    </div>
    <div _ngcontent-qir-c3="" class="col-md-12"><!----><bfm-error-container _ngcontent-qir-c3="" class="requests-error" _nghost-qir-c6="">
        <div _ngcontent-qir-c6=""><!----><!----><!----></div><!---->
      </bfm-error-container></div>
    <div _ngcontent-qir-c3="" class="sr-only" aria-live="assertive">Content loaded</div>
  </div><!---->
  <div _ngcontent-qir-c3="" class="row">
    <div _ngcontent-qir-c3="" class="col-md-12"><re-captcha _ngcontent-qir-c3="" id="ngrecaptcha-0">
        <div style="width: 304px; height: 78px;">
          <div><iframe title="reCAPTCHA"
              src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Ldjq1QiAAAAAPnQ9DHIedJYKImGaeMQg1_YD_b3&amp;co=aHR0cHM6Ly9zZWxmcmVnaXN0cmF0aW9uLmNvbmZpcm1hdGlvbi5jb206NDQz&amp;hl=de&amp;v=Ai7lOI0zKMDPHxlv62g7oMoJ&amp;size=normal&amp;cb=gx61peotafqb"
              width="304" height="78" role="presentation" name="a-yip66750rg" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe>
          </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
            style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
        </div><iframe style="display: none;"></iframe>
      </re-captcha></div>
  </div>
  <div _ngcontent-qir-c3="" class="row">
    <div _ngcontent-qir-c3="" class="col-md-12 btn-centered"><button _ngcontent-qir-c3="" class="btn btn-primary btn-lg" translate="SelfRegistration.Next.Button" type="button" data-qe-id="conf-av-start-next-button">Next</button>
      <div _ngcontent-qir-c3="" class="sr-only" aria-live="assertive"></div>
    </div>
  </div><!----><!---->
  <div _ngcontent-qir-c3="" class="row ng-star-inserted">
    <div _ngcontent-qir-c3="" class="col-md-12">
      <p _ngcontent-qir-c3="" class="not-user-text text-centered"><span _ngcontent-qir-c3="" translate="GetStartedForm.NotUser">Not an Asset Verification
          user?</span><a _ngcontent-qir-c3="" data-qe-id="conf-av-start-other-options-link" translate="GetStartedForm.OtherOptions" href="https://www.confirmation.com/home.aspx?regis"> See other registration options.</a></p>
    </div>
  </div><!---->
</form>

Text Content

THOMSON REUTERS

Confirmation

 * 
 * Already have an account?Log in


CREATE YOUR ASSET VERIFICATION ACCOUNT


ENTER SOME GENERAL INFORMATION TO GET STARTED.

First name

Last name

Work email

What type of requests do you plan to send? (Select all that apply) What type of
requests do you plan to send?(Select all that apply.) Credit Inquiry Government
Benefits Eligibility Mortgage QC Asset Reverification Verification of Deposit

Content loaded

Next


Not an Asset Verification user? See other registration options.

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covered by US Patents Nos. 7383232, 7832488, 8484105, 8510185, 8543475. Other
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