If you are enrolling as Self-Employed, Delegate, Facility User or an Organization, please use the form below to submit your enrollment information.
Self-employed, Delegate, Organization Enrollment: Please attach your signed enrollment document, which you can download from the sidebar on the right.
- Self-Employed/Independent: Carries their own liability coverage
- Delegate: A person in an organization who assists their Verified Professional with Credentialing
- Organization: Company not currently enrolled on the HWSVerified site
Facility User Enrollment: You do not need to attach any documents.
Note: If you are unable to see the form below, please use Google Chrome for this site.