Create a Credentialers Account

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If your organization does not have a verification account, you can request a new account by completing the form below. If you do not receive your account information within three business days, please contact us at verifications@abfas.org.

If your organization has an existing verification account and you would like to add or remove users to your organization's account, visit the Add/Remove Credentialer Account Users web page.

ABFAS Verification New Account Request Form

Request Date

Primary Contact First and Last Name

Primary Contact Email

Full Organization Name

Abbreviated Organization Name, if applicable

Job Title

Address

City

State

Zip Code

Phone Number

Fax Number

Additional Authorized User #1: Full Name

Additional Authorized User #1: Email

Additional Authorized User #2: Full Name

Additional Authorized User #2: Email

Additional Authorized User #3: Full Name

Additional Authorized User #3: Email

Additional Authorized User #4: Full Name

Additional Authorized User #4: Email

New code

Please type the code above

If unable to submit online, please download the New Verification Account Request Form and email verifications@abfas.org.