New Billing Account Onboarding Form Step 1 of 5 20% Primary Account Contact Name(Required) This field is set to read only. If you need to change the primary contact of your account, please close this window and reach out to us directly.Primary Account Contact Email(Required) This field is set to read only. If you need to change the primary contact of your account, please close this window and reach out to us directly.HiddenBilling Account ID Company Name/Team Name(Required) Gmail Email Address(Required) This will be used for the management of your Google Ads. It CANNOT be associated with a Google Ads account currently or in the past. If you are unsure please create a new one and enter it above. Are you the one and only LO who will be working the leads?(Required)YesNoOnly select "No" if you paid for multiple loan officers or if you're paying for the system on behalf of another loan officer.Will you be working leads as a loan officer?(Required)YesNoWill a LOA, VA or anyone else besides an loan officer need additional access to Empower LO?(Required)NoYesThese users come at no additional cost to you. If yes, please provide their contact info below.Name First Last Job Title Email Phone Physical Branch Address (Where Can We Send You Mail?)(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code We will also use this address as your registered physical location for CAN SPAM and A2P Messaging compliance. What is your NMLS #?(Required)What is your Company NMLS #?(Required)Mobile Phone # to Forward Lead Correspondence To?(Required)We'll set you up with local phone #'s for the markets you're advertising in. Where would you like the notifications forwarded?Email for Lead Correspondence?(Required) You can use your account email here, but if you want borrowers to see a different email enter it now.Link to Online 1003 - Loan Application (Optional) With advanced automations we will create templates so you can send your Online Loan Application to leads. We can also track if they interact with this link and how often. Do you have an existing Gmail or Outlook calendar you use for work? If so select which one you would like us to integrate. (Optional)GoogleOutlookI'd like you to make my own n Empower.To increase your odds of engagement with leads we can include a custom calendar link into our automated campaigns and text templates. We can integrate your Outlook or Gmail calendar to Empower LO to check for availability conflicts. Upload a Professional Headshot for Your Thank You Page Drop files here or Select files Accepted file types: png, jpg, jpeg, Max. file size: 50 MB. You can choose to have a headshot displayed on the Thank You Page to create a more personal introduction prior to the automated system reaching out to the leads. Additional End Users Loan Officer Name Loan Officer Email Loan Officer Phone Number Actions Edit Delete There are no Loan Officers. Add Loan Officer Maximum number of loan officers reached. Only complete this section if you paid to add additional loan officers to your lead rotation/account. Provide Name and Email for each End User you want to onboard. Do you have an EIN for your business?(Required) Yes No We will need this information in order to have a local number. Otherwise we will supply you with a Toll-Free NumberWhat is your company's legal business name? What type of business are you?Sole ProprietorshipPartnershipCorporationLimited Liability CorporationWhat is your EIN? EIN Documentation (Optional)Max. file size: 50 MB.