KCS v6 Verified Application - Consortium for Service Innovation

This field is for validation purposes and should be left unchanged.

Your Name(Required)

First Last

Your Email(Required)

Company(Required)

Product Name and Version Number(Required)

Incident tracking system name and version number (and any other additional software requirements)(Required)

Name and title of the representative who will be conducting the demo(Required)

Date of their KCS v6 Practices certification(Required)

The person conducting the demo must be KCS v6 Practices certified.

Name and contact info for the person who will sign the agreements if different from your info above

The Verified License Agreement must be signed to complete the Verification process.

Name and contact info for billing if different from your info above

Operations manager Jill DeGraff will be in touch to complete payment of the non-refundable application fee.

By submitting this form, you acknowledge that this is the first step in the verification process.
After submission of the completed self-assessment worksheets and a successful technology demonstration, a designation fee will be due, and the KCS v6 Verified license agreement must be signed in order to complete verification.