ELECTRONIC RECORD AND SIGNATURE DISCLOSURE

Please read the following information carefully.

By checking the checkboxes on KWA’s dispute form, you are electronically signing and agreeing that you have reviewed the following terms and conditions and consent to communicate electronically with and received electronic communications from Keith D. Weiner & Associates Co., L.P.A.’s (“we”, “us”, “Company”, or “KWA”) online electronic signature system and e-mail communication system.

Your agreement is for the limited purpose of providing you documentation responsive to your dispute and will not be used as a means for other or regular communication.

If you do not agree to these terms, do not check the checkboxes.

A copy of this agreement can be provided upon request.

Electronic documents

Please note that Keith D. Weiner & Associates Co., L.P.A. will send the documentation responsive to your dispute electronically at the email address you have given us unless you tell us otherwise in accordance with the procedure explained herein. Once you sign your request to receive dispute documentation electronically, we will send the documents you have requested to you.

Electronic document requests may take fourteen (14) days or longer to provide. If you have not received your documents after fourteen days, you may follow-up by emailing us at [email protected].

Request for paper copies

You have the right to request from us paper copies of the documents that are sent to you electronically. You have the ability to download and print documents that are sent to you electronically. If you wish to receive paper copies of the documents that we have sent to you electronically, you can send an email to [email protected]. Your request must include your name, KWA account number, and your address. We will charge $0.00 per page for sending the documents as paper copies.

Withdrawing your consent

At any point in time prior to receiving your documents, you have the right to withdraw your consent to receive documents in electronic format. If you wish to withdraw your consent, you can send an email to [email protected] informing us that you wish to receive documents only in paper format. Your request must include your name and KWA account number. Upon request from you, we will stop sending e-mail communications to you.

To advise Keith D. Weiner & Associates Co., L.P.A. of your new email address

If you need to change the email address that you use to receive notices and disclosures from us, write to us at [email protected]. Your request must include your name and KWA account number.

System requirements for accessing or retaining records

Compatible with recent versions of popular browsers such as Chrome, Firefox, Safari, and Internet Explorer/Edge. Additionally your computer or mobile device must be able to receive emails and have programs with the ability to open ZIP and PDF files.

ver. 11/2021