EMV Attestation
This page serves as a PCI Acknowledgement and Attestation. Please use the directions below as a starting point for the agreement. The attestation describes that you will have a Security Policy and Incident Response Plan – both are included here.
Section 1
- Enter your pharmacy name in the “Name” field.
- Enter an email which you can access easily.
(This will be used in Section 2.) - Click Proceed To Document to continue to step two.
Section 2
- Follow the steps below to sign your document.
- Check your email to confirm your signature.
- After confirming your signature, check your email once more to review and download your signed document.