Carrier KYC · TalkTelX

Basic Information

Company Name *

DBA, Holding co., etc.

Incorporation Date *

Incorporation State, Country *

Company Type *

Business Registration # *

Tax ID *

FRN # *

499 ID *

RMD # *

OCN *

Company Address *

Main Contact *

Designation *

Mobile Number *

Phone Number *

Email Address *

Website

Social Media Profiles

Teams ID

Billing Address (if different)

Billing Email

Billing Phone

Rates Email

Notices Email

Low Balance Notice Email

Tech Support Email

Legal/Compliance Contact Name

Legal/Compliance Contact Email

Legal/Compliance Contact Phone

Operations/Network Contact Name

Operations/Network Contact Phone

Operations/Network Contact Email

Traffic Profile & Quality

Traffic Type *

Ports Requirements *

CPS *

Sessions *

Expected monthly VoIP minutes

Typical Average Length of Call (ALOC)

Attempts-to-minutes ratio

Share of calls rejected (cause 21 / SIP 603/607/608)

Answer-Seizure Ratio (ASR)

% of calls lasting 6 seconds or less *

STIR/SHAKEN attestation level (per RMD) *

Gateway-provider status (per RMD)

Foreign-service-provider status (per RMD)

Listed in FCC's Intermediate Provider Registry?

Rural Call Completion contact email (if yes)

Subscriber sign-up documented in RMD mitigation plan?

Subscriber sign-up process (if not)

Can subscribers sign up via automated process?

Safeguards to prevent fraud & robocalls

ITG & Compliance

Member of USTelecom Industry Traceback Group (ITG)? *

Respond to traceback requests within 24 hours? *

Actively participate in the ITG traceback process? *

Received any tracebacks in the last 90 days? *

Authorize TalkTelX to obtain your ITG traceback history? *

Telecom regulatory penalties/issues in past 5 years *

Traffic blocked by a provider / FCC bad-actor identification *

Lost civil case (TSR/TCPA/robocalls/DNC/spoofing)? *

Trade References

Reference 1 — Company *

Reference 1 — Contact *

Reference 1 — Phone *

Reference 1 — Email *

Reference 1 — Teams ID

Reference 2 — Company

Reference 2 — Contact

Reference 2 — Phone

Reference 2 — Email

Reference 2 — Teams ID

Reference 3 — Company

Reference 3 — Contact

Reference 3 — Phone

Reference 3 — Email

Reference 3 — Teams ID

Required Documents

PDF, JPG or PNG · up to 8 MB each.

EIN Certificate *

OCN Letter *

Articles of Incorporation / Certificate of Good Standing *

Passport / National ID / Driving License *

ITG Portal Screenshot (Past 2 Months) *

Certification & Authorised Signature

Customer / Company Name *

Print Name (signer) *

Title *

Date *

I certify that the information provided is true, complete and accurate to the best of my knowledge, and that I am authorised to submit this form on behalf of the company.