Begin Your Verification

Begin Verification – Proof Stack™ Intake

Submit your Proof Stack™ to begin verification. This intake form collects your professional proof — including credentials, outcomes, and measurable impact — to activate your Builder Identity™ inside the CREDARA™ Verified-Capital System™. Once reviewed, you’ll receive confirmation and access instructions for your Empowerment Engine™.

Step 1 of 3

Builder Identity — Verification Entry

Submit your active licenses, certifications, or institutional credentials. Each submission contributes to your Proof Stack™ authenticity layer.

Name(Required)

First Last

Email(Required)

Used for verification updates and secure access to your Builder Portal. We never sell your data.

Phone(Required)

City(Required)

State / Province(Required)

Use your region’s standard abbreviation or full name

Country(Required)

Institution / Organization Name(Required)

Enter the full name of the organization, institution, or company you are currently affiliated with or representing (e.g., University of California, BrainHealth Group, or CREDARA™ Systems). This ensures your verification record is institutionally anchored within the Verified-Capital System.

Professional Title / Role(Required)

Specify your active professional title or role within your organization (e.g., Clinical Director, Lead Analyst, Founder, Senior Research Fellow). This title will appear on your Proof Stack™ verification record and Builder™ profile.

LinkedIn or Portfolio URL

Provide a public link to your professional portfolio, LinkedIn profile, or verified website that demonstrates your work, credentials, or published contributions. This link supports transparency and adds depth to your Proof Stack™ authenticity layer.

Verified Credentials & Licensing Proof

Submit your active licenses, certifications, or institutional credentials. Each submission contributes to your Proof Stack™ authenticity layer.

Credential Type(Required)

Select the type of credential you are submitting for verification. Each type corresponds to a specific authenticity path within the CREDARA™ Verification Framework — whether issued by a licensing authority, educational institution, professional board, or recognized body of record.

Issuing Authority/ Institution(Required)

Enter the full legal name of the organization, institution, or governing body that issued this credential. Example: College of Registered Psychotherapists of Ontario, Project Management Institute (PMI), University of Toronto. This field establishes institutional traceability and ensures that your submission can be validated through accredited or recognized authorities.

Issuer City(Required)

Issuer State / Province(Required)

Issuer Country(Required)

Date Issued

Expiration Date

Credential ID / License

Enter the official credential or license identification number as it appears on your issued document. This ID helps our verification officers validate your record with the issuing authority or database. Example: L-45210-CA or Cert# 2024-ACME-112.

Issue Date(Required)

Enter the date this credential or license was officially issued.

Expiration Date(Required)

Enter the date this credential or license was officially issued.

Upload Credential File

Max. file size: 6 GB.

Verification URL

Notes

Provide any additional context, clarifications, or notes that would help verification officers accurately validate your record.

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authenticity_score

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completeness_score

Verification Declaration & Consent Agreement

Please review and confirm the authenticity of your submissions. CREDARA™ may conduct random audits for validation within our verification protocols.

Verification Declaration(Required)

✅ I affirm that all credentials, licenses, and documents submitted are authentic, current, and legally obtained.

✅ I understand that CREDARA™ reserves the right to verify or audit my submissions with the issuing institutions or boards.

✅ I consent to my verification data being used for inclusion in the CREDARA™ Verified-Capital System™ for transparency and trust reporting.

✅ I acknowledge that falsified or misleading information may result in permanent suspension of my verification privileges and reporting to relevant authorities.

✅ I agree to the Verification Terms & Protocols outlined in CREDARA™’s Verification Policy.

Verified Outcomes & Performance

Provide quantitative or qualitative outcomes that evidence your results — client metrics, performance data, case-study summaries, or validated impact reports.

Performance Summary(Required)

Summarize the key results or impact achieved (e.g., % increase in client outcomes, revenue growth, or system efficiency gains).

Outcome Category

Performance Value

Enter a numerical metric representing your impact (e.g., 95% client satisfaction, $200K in verified savings, or 15% efficiency gain).

Verification Period Start Date(Required)

Enter the date this verification, credential, or performance period began.

Verification Period End Date(Required)

Enter the date this verification, credential, or performance period began.

Evidence Upload

Drop files here or

Accepted file types: pdf, docx, pptx, mp4, Max. file size: 6 GB.

Attach up to three supporting files (PDF, DOCX, PPTX, MP4 ≤ 100 MB each) that validate your metrics or case results.

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Begin Verification – Proof Stack™ Intake

Builder Identity — Verification Entry

Verified Credentials & Licensing Proof

Verification Declaration & Consent Agreement

Verified Outcomes & Performance

Verified Outcomes & Performance Metrics Verification