RegisterThirdParty

VRS Account Creation Form - Your Details

Please complete the form below with as much detail as possible...

*Mandatory fields

Title*

Forename*

Middle Names

Surname*

Previous Name

Previous Forename

Previous Middle Names

Previous Surname

Date of Birth* (18 or over)

Years at Address*

Postcode*

Address Line 1*

Address Line 2

Address Line 3

Address Line 4

Address Line 5

Landline/Home Telephone Number (no spaces)

Mobile Telephone Number (no spaces)

Email Address*

Preferred Contact Method*?

Phone Landline Phone Mobile Letter

VRS - User Registration

Details of the Person you Wish To Register

Please complete the form below with as much detail as possible...

Title*

Forename*

Middle Names

Surname*

Previous Name

Previous Forename

Previous Middle Names

Previous Surname

Date of Birth* (18 or over)

Years at Address*

Postcode*

Address Line 1*

Address Line 2

Address Line 3

Address Line 4

Address Line 5

Landline/Home Telephone Number (no spaces)

Mobile Telephone Number (no spaces)

Email Address*

VRS Registration Type

Please select the option below that most accurately applies...

1. Consumer Authorise Decline -

Any application for finance or related services should be declined to protect the individual from additional hardship.

This registration can be used as an added security measure to request that no financial or credit related services are offered to you and should be declined until further notice.

You can change this flag at any time by logging into your VRS registration.

2. Consumer Authorised Review -

Any application for finance or related services should be assessed carefully knowing the individual's current vulnerability.

This registration can be used to request that financial or credit related services consult you directly, carefully assess and review any applications or communications with you.

Asking organisations to refer any application back to you adds additional identification security to prevent being a victim of a fraud or scam.

3. No Consumer Authorised Review (this MUST be selected if you are relying on the ‘Exceptional cases’ declaration) -
Any application for finance or related services should be assessed carefully knowing the individual's current vulnerability.

Optional Sub Flag Selection

Please tick all relevant sub flags, double click to select/deselect, hovering over will give more details...

User Declaration - Please read carefully

I have obtained the individual’s consent to register a VRS entry and shall retain evidence of this; and have provided the individual with a full explanation of the VRS and the effects of registration (See User Guide for guidance and recommended wording); and have agreed what I may disclose to other Users contacting me about this individual

or in exceptional cases...

I have legitimate grounds for registering a VRS entry due to the potential for specific, identifiable and acute financial or other hardship and vulnerability; and have retained evidence to support this decision; and I have notified the individual of their VRS registration.

I confirm that I have read and understood the above declaration and that the information I have provided is true and accurate to the best of my knowledge.