Upload Documents

Use this form to securely submit documents for your merchant account

Business Information
- Name of Person Filling Out This Form*
  (doesn't have to be the owner)
  First Last
- Owner Name*
  First Last
- My Business has only 1 owner*
  - Yes
  - No
- Owner 2 Name*
  First Last
- DBA Name*
  Doing Business As
- Industry*
- What is your industry?*
10MB size limit per file. Accepted file formats include: pdf, jpg, jpeg, doc, docx, gif, png, csv, xls, xlsx
Articles of Incorporation
A set of formal documents filed with a government body that establish the existence of your corporation in the US, and are filed with the Secretary of State.
Upload Articles File upload
Voided Check
Temporary checks will not be accepted by the processing bank. The processing bank needs to see the business name, address, routing, and account numbers on the check for it to be acceptable.
If you don’t have business bank checks, ask your business’ bank to provide you with a letter, on bank letterhead, with ALL of the following:
1. Name of Your Business
2. Business’ Bank Account Number
3. Business’ Routing Number
4. The statement: “This business’ account is in good standing”
5. The banker’s contact information
6. The banker’s signature
Voided Business Check (Or Bank Letter) File upload
Drivers License or Passport
ID must be for the listed owner of the business. This same owner will sign the merchant account application. Front Only, please
A color copy of Your Driver’s License or Passport (Front Only) File upload
Drivers License or Passport - Owner 2
ID must be for the listed owner of the business. This same owner will sign the merchant account application. Front Only, please
A color copy of Your Driver’s License or Passport (Front Only) File upload
Bank Statements
3 Most Recent Months of Previous Business Bank Statements (or personal bank statements if a new business)
Must be downloaded or scanned copies of the full monthly statement, not merely screenshots. These are available through your business bank’s online login and are also usually sent from your bank by mail each month. For new businesses please provide the last 3 months of personal bank statements for the signer / owner of the corporation.
Bank Statement 1
Statement Type
Month
Year
Bank Statement File upload
Bank Statement 2
Statement Type
Month
Year
Bank Statement File upload
Bank Statement 3
Statement Type
Month
Year
Bank Statement File upload
Bank Statement 4 (If Applicable)
Statement Type
Month
Year
Bank Statement File upload
Bank Statement 5 (If Applicable)
Statement Type
Month
Year
Bank Statement File upload
Processing Statements (If Applicable)
3 Most Recent Months Previous Credit Card or ACH Processing Statements (if available)
Must be downloaded or scanned copies of the full monthly statement, not merely screenshots. These are available through your previous/current merchant account provider’s online login, or by calling your old credit card processor. For new businesses, or if you haven’t accepted credit cards in the past, omit this requirement. If, however, your bank statements indicate you’ve accepted credit cards in the past, you cannot be approved without providing those documents.
Processing Statement 1 (If Available)
Month
Year
Processing Statement File upload
Processing Statement 2 (If Available)
Month
Year
Processing Statement File upload
Processing Statement 3 (If Available)
Month
Year
Processing Statement File upload
Fulfillment Agreement (If Available)
A fulfillment agreement is a legal contract between a manufacturer and a product distribution company that defines that nature of the relationship, the fees, and numerous other details.
Fulfillment Agreement Upload File upload
EIN Confirmation
You receive an EIN Confirmation Letter once you have completed the Employer Identification Number (EIN) application on the IRS website. Learn more here
EIN Confirmation Upload File upload
Operating Agreement (If Available)
An operating agreement is a special type of business contract that describes the operations of a limited liability company (LLC), setting forth the agreements between the members of the LLC (the owners). An operating agreement can be compared to the by-laws of a corporation
Operating Agreement Upload File upload
Proof of Company Registration (If Available)
The company registration document is a written statement from the Government in your country which confirms that the company legally exists. ... We must be able to see which governmental organization issued the document as well as the name of the company that is requesting Internet number resources.
Company Registration Upload File upload
Utility Bill
Showing proof of your entity's address by providing a bill preferably, Gas, Electric, and/or water/
Utility Bill Upload File upload
Proof of Website Registration
Proving ownership of private domains. If your domain is set as private, you may have to prove ownership of it to a third party such as a bank or other institution. You will need to provide proof of your registrant information. A screenshot of your GoDaddy or other Registration will suffice.
Website Registration Upload File upload
Certificate of Analysis (COA) / Lab Results
- A Certificate of Analysis is a document issued by Quality Assurance that confirms that a regulated product meets its product specification. They commonly contain the actual results obtained from testing performed as part of quality control of an individual batch of a product.
  Note: the bank requires a complete and current product list for all CBD and Non-CBD products being sold on your site. Please upload a COA for each CBD product you sell. The COA files must include the name of the product as it's listed on your website and in your product list.
  Example: Product List shows “50Mg CBD Cream - Berry Scented”, the COA should be named “50Mg CBD Cream – Berry Scented COA”. If the product has changed or other ingredients have been added to make a cream or salve, as an example, we need the finalized product COA test. If your business is only re-package a product you purchase from a manufacturer, such as a tincture of pure CBD without any additives, the original COA will suffice but keep in mind that the file name should match the name of the product on your site and on the product list.
  If you have more than 4 CBD products for sale on your site, you can email your COAs (properly named) to support@paydiverse.com.
- Product 1
  As listed on your website and product list
- Product 1 Upload File upload
- Product 2
  As listed on your website and product list
- Product 2 Upload File upload
- Product 3
  As listed on your website and product list
- Product 3 Upload File upload
- Product 4
  As listed on your website and product list
- Product 4 Upload File upload
Product & Inventory List
Please provide Product & Inventory List (name of product, Ingredient list, if not on COA, Supplier name, including batch number, product manufacture date).
Product & Inventory List Upload
Agreement With Your Supplier Or Fulfillment Vendor
Please provide agreement with your Supplier or Fulfillment Vendor.
Supplier or Fullfillment Vendor Agreement Upload File upload
A Copy Of An Invoice From Your Supplier Or Fulfillment Vendor
Please provide a copy of an invoice from your Supplier or Fulfillment Vendor dated within <90days.
A Copy Of Supplier Or Fullfillment Vendor Invoice Upload File upload
Copies Of Marketing Materials
- Please provide copies of the following Marketing Materials (keep in mind Medical or Therapeutic benefits not approved by FDA are prohibited):
  - Electronic marketing outside of main website (social media, email campaigns, referring URLs, advertisements)
  - Copy or image of in-store marketing material
  - Product labels
- Marketing Materials Upload File upload
- File upload
- File upload
- File upload
- If you have more than 4 PDF, please combine them before uploading.
  https://smallpdf.com/merge-pdf
DBA Business Filing
State and local governments usually require companies to register any alternate names under which they do business. Called a Doing Business As (DBA) filing, this action allows your company to legally operate under a trade name, also known as an "assumed" or "fictitious" name.
DBA Business Filing Upload File upload
Call Center Agreement (If Available)
Agreement for Outsourcing Call Center Support
Call Center Agreement Upload File upload
Ad Network Agreement (If Available)
Agreement for a 3rd party provider of an advertising network to manages the placement of advertisements made available on websites and/or software applications.
Ad Network Upload File upload
CRM Agreement (If Available)
For customer-centric organizations, customer relationship management (CRM) software is a high-stakes investment. They rely on their CRM to store and analyze data and to make the most out of new and longstanding relationships.
CRM Agreement Upload File upload
Name
This field is for validation purposes and should be left unchanged.

Upload Documents

Business Information

Articles of Incorporation

Voided Check

Drivers License or Passport

Drivers License or Passport - Owner 2

Bank Statements

3 Most Recent Months of Previous Business Bank Statements (or personal bank statements if a new business)

Bank Statement 1

Bank Statement 2

Bank Statement 3

Bank Statement 4 (If Applicable)

Bank Statement 5 (If Applicable)

Processing Statements (If Applicable)

3 Most Recent Months Previous Credit Card or ACH Processing Statements (if available)

Processing Statement 1 (If Available)

Processing Statement 2 (If Available)

Processing Statement 3 (If Available)

Fulfillment Agreement (If Available)

EIN Confirmation

Operating Agreement (If Available)

Proof of Company Registration (If Available)

Utility Bill

Proof of Website Registration

Certificate of Analysis (COA) / Lab Results

Product & Inventory List

Agreement With Your Supplier Or Fulfillment Vendor

A Copy Of An Invoice From Your Supplier Or Fulfillment Vendor

Copies Of Marketing Materials

DBA Business Filing

Call Center Agreement (If Available)

Ad Network Agreement (If Available)

CRM Agreement (If Available)

High Risk Services

High Risk Industries

Company

Customer Support