Evaluator Transfer Form

Please complete the following form in order to transfer your evaluator authorization to another company.

COMPANY TO BE TRANSFERRED TO MUST HAVE A PROFESSIONAL SERVICE AGREEMENT (PSA) ON FILE AT TIME OF TRANSFER.

Payment Policy:
Veriforce requires prepayment before this transfer can take place. There is a $25 charge per evaluator transferred.

Evaluator Information:

Evaluator Name:

Original Company:

Company to be transferred to:

Transfer Requested by:

Payment Information: (See Payment Policy Above)

Check No.:

Credit Card: Expiration Date:

Credit Card No.:

Cardholder Name:

Cardholder Address:

Once you have completed this request form, print this page and fax it to (281) 715-5780.

Evaluator
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“Since becoming an operator member with Veriforce, they’ve always been very responsive to our needs, and great at providing innovative solutions to enhance the system. They offer a fresh perspective in dealing with the qualification issues the pipelines have faced and from that have built a solid tool for the operators and contractors.

The service is great, they’re responsive. If you call with a problem it’s generally fixed immediately. There’s not a lot of red tape to go through before they handle things.”

Tim Vaughan, Spectra Energy

19221 I-45 South, Suite 200 • Shenandoah, TX 77385 • 800.426.1604