Example Consent Receipt Generator

This page demonstrates a Consent Receipt generation function. The data in the form is sent to an API that generates a signed receipt in a JSON Web Token Format. This page then renders the resulting signed receipt and lets you download the raw receipt object.

Consent Receipt Input

Form values are suggestion for reference.

Receipt Contents

The unencoded contents of your receipt will appear here after you submit the form.

is acting on behalf of company:
Contact Name:
Company Name:
Address:
Contact Email:
Phone Number:

Sharing data to for the purpose of

Checking signature...

Download Receipt »