Reverse Mortgage Counseling

Lender Registration

= Required

= Recommended

NOTE: We are only accepting registrations for corporate offices at this time. If you are a branch office, please have your corporate office register.

Company Information
	Company Name:
	Address:	Suite:
	City:
	State:
	5 Digit Zip Code:
	Primary Phone Number: ex. 123-456-7890
	Secondary Phone Number: ex. 123-456-7890
	Fax Number: ex. 123-456-7890
Administrator Contact Information
Note: The administrator contact is the person that is going to administer the DirectConnect program for registering Loan Processors and Loan Officers in the system. This administrator is also considered a "Loan Processor". Please provide the administrator's information below. In most cases, this administrator will be the primary loan processor in your company.
	Position in Company:
	First Name:
	Last Name:
	Email Address:

Disclaimer: DirectConnect Reverse Mortgage Counseling Services™ has no affiliation with AARP, nor does AARP endorse the DirectConnect system. DirectConnect has been reviewed and revised by the U.S. Department of Housing and Urban Development to ensure that DirectConnect meets all requirements in the HUD HECM Counseling protocol, including procedures and policies.