Debt Docket’s E-SIGN Disclosure

DISCLOSURE: For your convenience, this is a copy of the E-SIGN Act disclosure included in the TCPA disclosure that was presented to you during submission of your form to Debt Docket, LLC. This disclosure outlines your rights and obligations related to electronic communications and signatures.

Please note that the “Agree and Continue” button referenced herein is a template example; the actual wording of the button you clicked may differ slightly. No action is required on your part at this time. You may print or save this disclosure for your records.

Consent to Use of Electronic Records and Signature

You have the opportunity to complete and sign documents, and to receive notices and communications related to your submission and ongoing interactions with Debt Docket, LLC, in electronic rather than paper form.

To agree to this use of electronic records and to sign electronically with the same effect as a handwritten signature, you must click the “Agree and Continue” button at the bottom of the form following your review of this information.

To complete this process electronically, you will need:
- A valid personal email address
- Access to a device with internet connectivity and a modern browser (e.g., Chrome, Firefox, Edge, Safari)
- Standard email software
- Optional: A printer to retain paper copies, if desired

If you prefer not to proceed electronically, you may request paper copies of any forms or submit your request by contacting Debt Docket, LLC by phone or mail.

Scope of Your Consent

By clicking “Agree and Continue,” you consent to the following:
- To electronically sign, complete, and receive documents related to your inquiry or application with Debt Docket, LLC
- To receive all related notices, requests for information, disclosures, and regulatory communications electronically
- That this consent applies to both this session and any future sessions or communications relating to the same matter

These documents may be presented via this website or transmitted to you by email.

Updating Your Contact Information

If your email address, phone number, or other contact information changes, you are responsible for promptly notifying Debt Docket, LLC. You may do so by:
- Calling: 844-534-7008
- Emailing: [email protected]

Withdrawing Consent

You may withdraw your consent to receive and sign documents electronically at any time. To do so, please contact Debt Docket, LLC using the information above. Upon withdrawal:
- You will no longer be able to receive or sign documents electronically
- Withdrawal will be effective prospectively, after we have had a reasonable time to process your request
- You must contact a Debt Docket representative to request paper versions of all future documents

Requesting Paper Copies

After providing your consent, you may print or save any document presented during this session. Copies of previously signed or submitted documents may also be requested by contacting Debt Docket, LLC directly.

Confirmation of Understanding

By entering your name in the appropriate field, providing your email and phone number, and clicking “Agree and Continue,” you confirm that:
- You understand and agree to the use of electronic records and electronic signatures as described above
- You consent to the electronic delivery and storage of all documents and communications related to your interaction with Debt Docket, LLC