Stand Up Wireless Agent Onboarding Form

Stand UP Wireless Agents Onboarding Form

Manager or Team / Office Name

Agent Full Name

Agent Email

Agent Phone Number

Agent RAD ID

Agent Street Address

Street Address Line 2

City

State / Province

Shirt Size

Date of Birth

Last 4 of SSN

Selfie with STATE / GOV ID (Please provide a selfie of the agent with their ID)

STATE / GOV ID (Photo ID must be issued by the US Government and unexpired. ID images in the form of photocopies, scans, screenshots, "selfies", etc. are NOT acceptable)