USFRSI
Agent Bill
Agent Profile Edit
Dashboard
Pickup Agent Registration
Pickup Details
Public Profile
Pickup Agent Registration
Personal & Contact Information
Recovery Agency Name
Recovery Agent Name
First
Last
Cell Phone
Agent Email
Recovery License Number
Issuing State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Expiration Date
MM slash DD slash YYYY
License Upload
Max. file size: 128 MB.
Professional Credentials
Years of Experience
Skills
Firearms
Defensive Tactics
Surveillance
Fugitive Recovery Training
Other
Insurance / Bond Carrier
Upload Insurance
Max. file size: 128 MB.
Operational Coverage
Primary State of Operation
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Licensed/Operating In
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Out-of-State Licenses
Drop files here or
Select files
Max. file size: 128 MB, Max. files: 20.
Restrictions
Fee Structure
Standard Capture Fee
Hourly / Daily Rate
Per Diem (Meals/Lodging)
Other Fees
I Agree
I understand that final fee approval is subject to prior authorization from the Surety.
Recovery Agent Payment Information
Business Type
Sole Proprietor
LLC
Corp
Other
SSN
Tax ID / EIN
W9 Upload
Max. file size: 128 MB.
Business Address
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Recovery Agent Payment Information
Preferred Payment Method
Check
ACH/Direct Deposit
Wire
Online Payment
Other
Banking Institution
JPMorgan Chase & Co.
Bank of America
Citigroup (Citi)
Wells Fargo
U.S. Bancorp (U.S. Bank)
PNC Financial Services
Truist Financial
Goldman Sachs
Morgan Stanley
Capital One
Routing Number
Account Number
References & Background
Professional References
Please Provide five (5) Professional References
Name
ColumnRelationship
Phone Number
Add
Remove
Have you ever been convicted of a felony?
Yes
No
If Yes, explain
Upload Background Check
Max. file size: 128 MB.
Agreements & Disclosures
I Agee
I agree to abide by state and federal fugitive recovery laws.
I agree to follow Surety/Agency operating policies.
I consent to background verification.
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Signature
Date
MM slash DD slash YYYY
User IP
Password
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Confirm Password