Know Your Customer (KYC) Form KYC Form The Federal Communications Commission (FCC) now requires providers to verify customers with Know Your Customer (KYC) requirements as part of STIR/SHAKEN—a framework designed to reduce robocalls and protect legitimate businesses. "*" indicates required fields LinkedInThis field is for validation purposes and should be left unchanged. BUSINESS INFORMATIONBusiness Name Legal Name Doing Business As Name DBA Business Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Business Website Industry TypeYears in Operation AUTHORIZED CONTACTName First Last TitleEmail This field is hidden when viewing the formConfirm Email Phone BUSINESS VERIFICATIONEIN / Tax IDState of Registration• Upload: Certificate of Incorporation / Business LicenseMax. file size: 2 GB. SERVICE DETAILSType of Service RequestedChoose all that apply. VoIP/Cloud Phone System SIP Trunking SMS/MMS Messaging Call/Contact Center Other Number of UsersExpected Go-Live Date CALLING PROFILEPrimary Use Case for Outbound Calling Customer Support Sales / Marketing Appointment Reminders Alerts/Notifications Other Estimated Daily Call VolumeThe estimated company-wide daily usage of outbound calling minutes.Peak Calling HoursGeographic Call Regions (Local, National, International) COMPLIANCE & CONSENTDo you obtain consent for outbound calls? Yes No Do you follow TCPA guidelines?TCPA compliance requires businesses to obtain prior express written consent before using automated systems or prerecorded voices for marketing calls/texts. Yes No Provide a Brief Description of Your Opt-in Process NUMBER INFORMATIONWill Your Business- Port Numbers Purchase New Numbers Both List Numbers or Upload FileUpload Number ListMax. file size: 2 GB. Proof of OwnershipUpload CSR or Most Recent Phone Bill.Max. file size: 2 GB. ATTESTATION & SIGNATUREConsent* Consent VerificationBy checking the Consent Verification box and typing my name below, I represent and warrant that all information provided in this form is true, accurate, and complete to the best of my knowledge. I agree to use the Service for lawful purposes only and agree to adhere to STIR/SHAKEN compliancy and Acceptable Use Policy requirements. View all ACC Telecom policies at https://www.acctelecom.com/policies/.Digital Signature- /s/ Full Name*Type Full Name Date*MM/DD/YYYYCAPTCHA
