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Please give us some basic information about your company below and press the Submit button. A One Source representative will call you directly.

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After Submission

Once we have reviewed the information submitted, we will contact you to go over the potential results.

In the event there is merit to fill out an application, you will find the process pretty straightforward. One Source will help you compile all the necessary documents and forms for submission. Then our service team will go to work for you to obtain the most comprehensive and cost-effective program possible to meet your unique needs.

Click here to download the standard application for Credit Insurance. You can fill out this form directly on your computer, print and sign it, then e-mail it back to You may also fax it back to us at 281-240-3130.

If you have questions or concerns about the application, please call us at the number shown below between the hours of 8am and 5pm Eastern time and dial 9 for customer service.

In order to streamline the process, you will need to gather some data to help you fill out the application:

  • Sales and Loss information for the past 3 years
  • A list of key buyers names, including addresses, phone numbers, credit limits & terms
  • A summary of open account balance aging
  • Account Receivable (A/R) summary for the 4 prior quarters