KCS v6 Verified Application

  • The person conducting the demo must be KCS v6 Practices certified.
    Date Format: MM slash DD slash YYYY
  • Operations manager Jill DeGraff will be in touch to complete payment of the non-refundable assessment fee.
  • By submitting this form, you acknowledge that this is the first step in the verification process.
    After submission of the completed self-assessment worksheets and a successful technology demonstration, a designation fee will be due, and the KCS v6 Verified license agreement must be signed in order to complete verification.
  • This field is for validation purposes and should be left unchanged.