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.