Contracts and Forms
iiX requires several forms to establish an account. We provide all the information you need to help you get started. From documentation on our services to ordering your first report and beyond, we’re here to guide you.
You must set up an account before ordering any iiX reports. To apply for an account, complete the Insurance Subscription Agreement as well as the MVR state forms (listed below) in states for which you’ll need MVR access.
You may e-mail completed documents to firstname.lastname@example.org or fax them to 979-846-7169. An iiX representative will contact you upon receipt of your documents.
Read more about our compliance and Fair Credit Reporting Act (FCRA) regulations.
MVR state forms
- New Hampshire
- New Hampshire Life Insurance
- New Jersey
- New Mexico
MVR monitoring forms
Driver Monitoring is a featured product of iiX and is available in more than 40 states. As an iiX client, you can activate Driver Monitoring with a single click.
For the states of Arkansas, Idaho, Oklahoma, and Utah, you’ll first need to complete a state access form. For access in states where alternate data sources are used to complete the monitoring process, you’ll need to complete a driver monitoring data source form. Access the forms.
Authorization agreement for Automated Clearing House (ACH) debit
Use the ACH Authorization Form to pay your monthly invoice with an ACH debit.
Use the Account Change Form to make address, contact, or ExpressNet administrator changes on an existing account.
To learn more about how our insurance underwriting products and services can help your business, contact one of our sales representatives.
Representatives are available Monday through Friday, 8 a.m. to 5:30 p.m. Central time.