ATMIA ESO Registration Clearinghouse

Step 1. Enter your member profile and click "Submit ESO Information":
First Name: *   Phone:
Last Name: *   Email: *
used to notify you that your information
has been accessed and by whom
ESO Name: *   Website:
Address: *   City: *
State: *
(Abbreviated format: NY, etc.)		   Zip: *
*required fields
 





Step 2. Enter your ESO company documents individually and click "Upload" after each Browse:
ESO Due Diligence Checklist:
Please upload files one at a time.  All eleven documents are required.
Current Company Financials:
Audited Company Financials:
Company Tax Returns for Prior Two Years (including all schedules and extensions):
Principal Owner(s) Tax Returns for Prior Two Years (including all schedules and extensions):
Principal Owner(s) Current Personal Financial Statement:
Company Background Check:
Principal Owner(s) Background Check:
On-site Review to include a PIN Security Review by an independent 3rd party:
Articles of Incorporation, LLC, or Partnership Organization:
Proof of Liability Insurance (Insurance declaration page):
Coverage sheet sign off that info will be provided to ATMIA:
Note: A Principal Owner is anyone with 10% or greater interest in the company.
Please do not submit unless you have completed the entire checklist.



Step 3. Submit your ESO Application for approval: