Test Client Intake
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse a nunc ante. Proin vel blandit massa. Vivamus vitae ex cursus elit gravida mollis. Integer porta accumsan faucibus. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Cras cursus placerat condimentum. Vestibulum consectetur tortor interdum tristique venenatis. In hac habitasse platea dictumst.
IMPORTANT NOTICE: Claims are based on unique tax IDs. If you have two or more locations that share the same unique tax ID, you only need to submit one of those locations on this landing page. Your claim will be based on the combined volumes of all of your locations that share that same unique tax ID. The claim administrator will do this automatically based on the records that Visa and MasterCard submitted to them. If you submit more than one location that shares the same unique tax ID, you will not receive a DocuSign agreement for those subsequent locations.
