Joint Venture Portal

Partner Information Form

Please complete the information below and upload a scanned copy of your valid primary ID (Driver's License, Passport, or State ID). Your submission is encrypted and sent securely to our team.

Role (check all that apply)

Authorized SignerBeneficial Owner

Publicly Traded Company

Yes

Full Name

Job Title

Social Security #

EIN (Optional)

Date of Birth

Current Address

City / State / Zip

Cell Phone #

Work Phone # (direct extension)

Alternate Phone # (Optional)

Work Email (Business email required)

Identification

Identification Type

Identification Number

ID Issuer

ID Issue Date

ID Expiration Date

Upload Scanned ID *Click to upload (PDF, JPG, PNG, max 10 MB)

Country of Residence

Country of Citizenship

Country of Birth

Your information is encrypted and secured

All data, including your SSN, EIN, and uploaded ID, is transmitted over a secure (TLS/SSL) connection and stored in encrypted, access-controlled storage. It is used solely for partner identity verification and underwriter approval, is never sold or used for marketing, and is retained only as long as required for compliance. See our Privacy Policy for details.