Can you help us?

  • Profile Image
    Brandon Jack
    Asked on July 10, 2012 at 02:42 PM

    Very soon my company will be in need of an online claim form which hundreds of thousands of individuals will complete. The form needs these essentials:

    Name
    Address
    Phone
    Email
    Last 4 SSN
    Certification Under Penalty of Perjury
    E-Signature
    Date
    Full Name
    Total # of eligible LCD products claimed in parts C and D below
    LCD Product Purchases-
    Number of LCD TV's Purchased
    Number of LCD Laptops Purchased
    Number of LCD Desktop Computer Screens

    Also needed will be a letter of agency authorizing my company to take donations on behalf of the individual filing these claims and donate the proceeds to the appropriate charity.

    As said these will be signed by hundreds of thousands of people, and we would like to be able to brand different claim forms for different charities we work with.

    Please have someone at your organization contact me about these possibilities.

    Thank you,

    Brandon Jack
    DonateDirect Project Manager
    Spectrum Settlement Recovery
    The Standard in Class Action Fund Recovery
     
    Spectrum Settlement Recovery
    22 Battery Street, Suite 700
    San Francisco, CA  94111
     
    http://www.donatedirect.net/
    bjack@spectrumsettlement.com
    415-263-9172
    415-392-5901 fax

  • Profile Image
    pinoytech
    Answered on July 10, 2012 at 03:22 PM

    Hi,

    Thank you for choosing JotForm for creating your online claiming form.

    We can help you on creating this form but unfortunately, digital signatures (E-Signature) are not currently supported. 

    Feel free to contact us if you need any further assistance.

  • Profile Image
    aytekin
    Answered on February 21, 2013 at 09:40 AM

    UPDATE: We have just released e-signature capturing for forms. 

    http://www.jotform.com/blog/70-Announcing-E-Signatures-for-Forms

     

    You can now add an e-signature question to your form and get your users to sign the forms they complete.