Contractor OQ Form

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Compliance Software & Services

Subscribe to each service below that’s required by your hiring client. Refer to the list of required services found in the notification about your hiring client’s new contractor program(s). If you don’t have a written notification and aren’t sure what’s required, please contact your hiring client.

All fee amounts noted below are in U.S. dollars.

Operator Qualification (OQ) Compliance Software, Services, & Fees

Operator Qualification (OQ) Compliance Management: Annual Subscription or Pay-As-You-Go options available – refer to details in the table below

Sign up for this service required by my hiring client

Pricing Option Selection *

With an Annual Subscription, please input the number of Qualified Individuals (QIs) your company wants to pre-purchase *

Enables participation in hiring clients’ contractor OQ programs that are administered through Veriforce
Allows contractor company to use VeriSource to manage and report on the qualifications of its employees to demonstrate compliance with hiring client OQ programs
Provides contractor company employees with access to the Covered Task Computer-Based Training (CBT) Library and any required client-specific computer-based training delivered through VeriSource
Contractor company is responsible for inactivating individuals in VeriSource, as needed, prior to their annual renewal date for the OQ Compliance Management service in order to avoid their inclusion in the new subscription period

	Annual Subscription Option	Pay-As-You-Go Option
How It Works	Contractor company decides the number of QIs it wants to pre-purchase for its annual subscription period QIs are good for the duration of the contractor’s annual subscription period (regardless of when activated throughout the 12-month period)	Contractor company pays for each QI as he/she is activated during the contractor’s annual subscription period QIs are good for the duration of the contractor’s annual subscription period (regardless of when activated throughout the 12-month period)
Fee per QI	$150 per QI per year	$195 per QI per year
Fee for Any QI Overages	$195 per extra QI (applies only if contractor company needs to purchase extra QIs during their annual subscription period beyond those pre-purchased)	n/a
When OQ Billing Occurs	Each year at annual renewal, contractor company will be billed for its full annual subscription amount based on the number of QIs the company decided to pre-purchase Any overages will be billed on a monthly basis as extra QIs are activated during the contractor’s annual subscription period	Beginning on its annual renewal date, contractor company will be billed on a monthly basis as QIs are activated

Notice of Other OQ Fees & Costs:
The fees below will apply only if your company meets the specific criteria described.

Annual VeriSource Access Fee: $10 annual fee

Assessed to contractor companies that have active qualified individuals (QIs) during a billing cycle
A contractor company that does not have any active QIs during a billing cycle will not be subject to this fee

Evaluator Authorization Training: $999 per course

Only Veriforce-authorized evaluators may perform OQ evaluations to qualify contractor company employees
If contractor company wishes to have in-house Veriforce evaluators, prospective evaluators must attend this instructor-led training course to become authorized
Upcoming course calendar and registration are available on the Veriforce website

Evaluator Re-authorization Computer-Based Training: $199 per course

Veriforce evaluators must re-authorize annually by either completing this computer-based refresher course or the instructor-led Evaluator Authorization Training course (see above)

Contractor Reinstatement Fee: $250 fee per occurrence

Assessed to reinstate a contractor company’s Veriforce account if it is suspended due to non-payment of OQ-related fees

Qualified Individual Audit Reinstatement Fee: $25 fee per occurrence

Assessed to re-activate a qualified individual’s records if suspended due to non-response during an audit
If a contractor company/individual does not respond to a Veriforce OQ personnel audit request within the required timeframe, qualification records may be suspended for the associated qualified individual

Drug & Alcohol Compliance Software, Services, & Fees

Drug & Alcohol Compliance: No fee required

Sign up for this service required by my hiring client

Enables participation in hiring clients’ contractor drug & alcohol monitoring programs that are administered through Veriforce
Provides limited access to the VeriSource software application
Allows contractor company (or the company’s Third-Party Administrator) to use VeriSource to input/upload drug & alcohol program-related data to demonstrate compliance to hiring clients

Safety Compliance Software, Services, & Fees

Safety Compliance: Annual fee based on service level designated by hiring client(s) (see below)

Sign up for this service required by my hiring client

Enables participation in hiring clients’ contractor safety programs (prequalification and ongoing monitoring) that are administered through Veriforce
Allows contractor company to use VeriSource to input/upload safety statistical data and safety policies/program information to demonstrate compliance to hiring clients
May require contractor company participation in Veriforce safety desktop and/or field audits as determined by hiring clients
Hiring clients will identify which service level (see below) is required of each contractor; if assigned to multiple service levels by different hiring clients, the contractor company will be invoiced only once for the highest required service level

Service Level	Annual Fee:
Safety Stats & Policy Review	$300
Safety Desktop Audit	$900
Safety Field Audit	$1800

Certificate of Insurance Tracking Software, Services, & Fees

Certificate of Insurance Tracking: $150 annual fee

Sign up for this service required by my hiring client

Enables participation in hiring clients’ contractor insurance programs (pre-qualification and ongoing monitoring) that are administered through Veriforce
Allows contractor company to use VeriSource to input insurance coverage details and upload certificate of insurance (COI) documentation to demonstrate compliance to hiring clients

Please check below: *

I agree to pay the applicable fee(s) for service(s) required by my hiring client(s)

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Contractor Signup Form

Sign up for an account with Veriforce and/or subscribe to new Veriforce software and services required by a hiring client.

Contact Veriforce Client Support at 800.426.1604

Contractor Signup Form

Sign up for an account with Veriforce and/or subscribe to new Veriforce software and services required by a hiring client.

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Contractor Signup

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Contractor Company Information

Billing Contact

VeriSource Account Administrator/General Contact

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Initial Setup Fee

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Compliance Software & Services

Operator Qualification (OQ) Compliance Software, Services, & Fees

Drug & Alcohol Compliance Software, Services, & Fees

Safety Compliance Software, Services, & Fees

Certificate of Insurance Tracking Software, Services, & Fees

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Signup Summary & Subscription Terms

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Contact Veriforce Client Support at 800.426.1604