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ConfirmID

To be verified, please follow these simple steps!

  1. Print out this Confirmation Form.
  2. Check all of your information and write-in any needed changes.
  3. Attach a readable copy of your valid Driver's License, State ID card, or Passport. If we can't read it, then we can't verify you.
  4. Mail it to (we only verify by mail):
  5. ConfirmID
    445 Sherman Avenue, Suite C
    Palo Alto, California 94306

Your ConfirmID Information
Full Name:  
Email:  
Address:  
City:  
State:  
Zip Code:  
Country:  
Gender (M/F):   
Birthdate (MM/DD/YYYY):  
Height (optional, e.g., 5' 9", we require drivers license for verification):   
Weight (optional, e.g., 155 lbs., we require drivers license for verification):   
Please include a readable copy of your valid Driver's License, State ID card, or Passport here


Internal Tracking ID=


I hereby certify that all submitted information is true and correct to the best of my knowledge and belief.


Signature:_________________________________________________ Date:______________



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ConfirmID is a registered trademark of ConfirmID, Inc.