Language
  • English (US)

  • Encounter

    Please fill out all the required info. Thanks!

  • Verification

    Choose ONE option for screening, please.

  • Verify Identity

    No passports or driver’s license, please!

  • Please have your full name visible!

  • I'm no longer reference friendly, and I prefer not to use references either. 

    Please select another option or email me more info. Thanks!

  • Verify Employment

  • No free email addresses allowed!

    Examples: gmail.com, yahoo.com, msn.com, live.com, etc.
    are NOT professional.

  • Your professional email can not be the same as your contact email!

    The form will be disabled until you use your work email OR please

    delete your contact email from the box and proceed to verify another way. 

    Thank you. x

  • NOTE: This won't work properly on a tablet! 

    Verification email sent from JotForm's servers! No worries of your work email receiving emails from a provocative email address.

  • Verify NOLA Travel: Visitors/Tourists

    Welcome to New Orleans! Please upload an image of your boarding pass or other legal travel identification.

  • Handles

    Your handles on review forums, social media, verification sites, etc.

  • Privacy Policy

    Read how I try my best to keep your info safe.

  • phoenixx@phoenixx.me

  • Should be Empty: