Agent Referral

RAD ID Information

Welcome to RAD
The Representative Accountability Database (RAD) validates the identities of those who perform transactions in the National Lifeline Accountability Database (NLAD) and the National Verifier. Please use the link below to sign up for your RAD ID, make changes to a current RAD ID or complete your agent annual agreement for your RAD ID.

RAD ID

Agent Referral Form

* Indicates required field

Name *

First

Last

RAD ID Number *

Referred By *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

State ID *

Max file size: 20MB

Picture (Selfie) for Badge *

Max file size: 20MB

Referring agent will receive $300.00 if NEW agent activates 50 devices in 30 days. You must assist them during training.

Submit

Agent Referral

RAD ID Information

Agent Referral Form

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