KCS v6 Verified Application

Your Name(Required)
The person conducting the demo must be KCS v6 Practices certified.
MM slash DD slash YYYY
The Verified License Agreement and the Logo Use Agreement must be signed to complete the Verification process.
Operations manager Jill DeGraff will be in touch to complete payment of the non-refundable assessment 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.
This field is for validation purposes and should be left unchanged.