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Instructions​​​: To Sign Your Service Agreement

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  • Review The Terms, Input Your Company Info Below and Sign. 

  • Submit Relevant Information when requested. ​

  • Respond the Any Subsequent Emails.

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Notice: The US VA will require your Agency to Have Insurance prior to contracting. However, there will be time to get insured if you are not already. Since, the United States Veteran Affairs is a US Federal Agency, they have the sole right to accept and/or reject any Provider into their network. So we implore you to remain as transparent as possible.

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To Start your VA Contract Enrollment, Review This Service Agreement and Acknowledge Acceptance with the Terms Below.

Now That you have reviewed the terms Input your Company Detail Below & Authorized by Your Signature

What License Services Do You Provide?
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Your Signature indicates that you have read and accept the terms of the above mentioned Contract Management Agreement.

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