Start recovering revenue

Create your Validate account.

Set up your business profile, choose your login, and activate your annual membership in one guided flow.

Keep 100% of recovered revenue

Unlimited invoice submissions

Built for small businesses

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Fill in the information below. Required fields are denoted with an asterisk.

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Business Name*

Business Category*

Who do you primarily serve?*

HIPAA Compliant Organization HIPAA Compliance Details

Address*

Address Cont'd

City*

State*

Zip*

Business Phone*

You can add your logo after approval. You do not need a logo or letterhead to finish registering. Once your account is approved, your member dashboard will guide you through adding the branding used on your Friendly Reminder and Intent to Report letters.

Account Information

First Name*

Last Name*

Your Email Address will be your username.

Email Address*

Confirm Email Address*

Passwords must be at least 8 characters and include at least one upper case letter, one lower case letter, and one numeric digit.

Password*

Confirm Password*

The Authorized Agent is the individual registered with the Secretary of State, or who has been deemed responsible for receiving legal correspondence on behalf of the company.

Authorized Agent First Name*

Authorized Agent Last Name*

The Contact Person is any authorized individual within the company that will be the point of contact for any normal business correspondence.

Contact Person First Name*

Contact Person Last Name*

Contact Person Email Address*

Website

EIN # / SSN #

Cost $420.00 Billed Yearly

Promotion Code

VA Tax $ 25.20 (VA Tax Users are charged 6% sales tax.)

Total Due Today $ 445.20

Credit Card Information

First Name on Card*

Last Name on Card*

Credit Card Number*

Expiration Date*

CVV Number*

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