use case 03 · enterprise · fully live

Certified consent, every recipient named

Your visitor needs no account. Submit the form and PRYVC certifies exactly what was agreed to — the disclosure as displayed, every entity named as receiving the data, timestamp, and page — into a tamper-evident certificate with a public verification URL. Built for regulated lead flows — insurance, mortgage, solar, legal, education — including CMS TPMO Medicare marketing, where naming each recipient is required.

the embed on this page

<script
  src="https://cdn.pryvc.com/v1/pryvc.js"
  data-client-id="pc_demo0000demo0000demo0000"
  data-mode="consent"
  data-purpose="Discuss insurance options"
  data-entities="Demo Insurance Agency|Demo FMO LLC"
  data-form-selector="#lead-form"
  data-checkbox-selector="#agree"
  data-disclosure-selector="#disclosure"
></script>