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CAcert Assurance Programme
Identity Verification Form (CAP) form
CAcert Inc. - P.O. Box 4107 - Denistone East NSW 2112 - Australia - http://www.cacert.org

CAcert's Root Certificate sha1 fingerprints class 1: 135C EC36 F49C B8E9 3B1A B270 CD80 8846 76CE 8F33
class 3: AD7C 3F64 FC44 39FE F4E9 0BE8 F47C 6CFA 8AAD FDCE

The CAcert Assurance Programme (CAP) aims to verify the identities of Internet users through face to face witnessing of government-issued photo identity documents.The Applicant asks the Assurer to verify to the CAcert Community that the Assurer has met and verified the Applicant's identity against original documents.Assurer may leave a copy of the details with the Applicant, and may complete and sign her final form after the meeting.If there are any doubts or concerns about the Applicant's identity, do not allocate points. You are encouraged to perform a mutual Assurance.
For more information about the CAcert Assurance Programme, including detailed guides for CAcert Assurers, please visit: http://www.cacert.org
A CAcert Arbitrator can require the Assurer to deliver the completed form in the event of a dispute. After 7 years this form should be securely disposed of to prevent identity misuse. E.g. shred or burn the form. The Assurer does not retain copies of ID at all.
For the CAcert Organisation Assurance Programme there is a separate special COAP form.

Date and location of the face-to-face meeting:
(yyyy-dd-mm)

Applicant's Identity Information points
allocated
Exact full name on the ID: ( type of ID shown) max35

Email address:
Date of Birth (yyyy-mm-dd)

Applicant's Statement
Make sure you have read and agreed with the CAcert Community Agreement (CCA)
I hereby confirm that the information stating my Identity Information above is both true and correct and request the CAcert Assurer (see below) to witness my identity in the CAcert Assurance Programme.
I agree to the CAcert Community Agreement. (CCA)

Date (yyyy-mm-dd)
Applicant's signature

Assurer's Statement
Assurer's Name
(optional) Date of Birth (yyyy-mm-dd)
Assurer's email address (optional)
I, the Assurer, hereby confirm that I have verified the Applicant's Identity Information, I will witness the Applicant's identity in the CAcert Assurance Programme, and allocate Assurance Points.
I am a CAcert Community Member, have passed the Assurance Challenge, and have been assured with at least 100 Assurance Points.

Date (yyyy-mm-dd)
Assurer's signature
© 2011 CAcert Inc., V5.1, 2011-06-14

How To Print this CAP form

A printer ready file with the form and attachments can be generated as follows:

2-up portrait 1-up)
A4 A5 Letter paper format
no yes, the CCA is attached to the form.
Submit the form:

CapHTML (last edited 2011-06-15 19:51:08 by UlrichSchroeter)