Repossession Certification and Training • Repossession Insurance • Repossession Assignment Management Tools

Online Membership Pre-Qualification Form

*Required  
Company Name*:
Owner First Name*:
Owner Middle Initial*:
Owner Last Name*:
First Name of Person
Completing the Form*:
Middle Initial of Person
Completing the Form*:
Last Name of Person
Completing the Form*:
Mailing Address*:
City*:
State*:
Zip*:
Phone*:
Fax:
Email*:
Website:
Current Policy Expiration Date*:
How Did You Learn About RSIG*:
Security:


1. Do you have at least 2 years verifiable experience as an owner or manager of a repossession business or as a collection manager for a lending institution?
Yes   No

2. Is the majority of your business repossession?
Yes   No

3. Do you have a staffed office open during regular business hours?
Yes   No

4. Is your office run out of your home?
Yes   No

5. Do you have a secured storage facility that is not shared with any other company or business entity?
Yes   No

6. Do you own or lease your own tow trucks insured and used exclusively for repossession activities?
Yes   No

6a. How many tow trucks do you own or lease as part of your business operations?:

7. Are you certified by the RSIG Certification Course?
Yes   No

7a. If so, what year?:






If you believe you meet these qualifications, you can download and complete the RSIG Application for Membership by clicking here.