Client referral consent form: a one-paragraph template for business introductions

A client referral consent form is a short written record that a business owner agreed to be introduced, named the basic facts you may share (company name, size band, contact details) and acknowledged any referral compensation. Keep it on file before you submit a company to SourceX; no records or confidential detail change hands under it.

When should you use a client referral consent form?

Use one every time you introduce a client's company to SourceX, before you submit it through the referral form or send your referral link. The owner approves one short paragraph in writing, and that paragraph records three things: they agreed to the introduction, which basic facts you may pass on, and that you told them about any referral compensation.

The form protects both sides. The owner sees exactly what leaves your office, which is very little: the company name, a size band, a contact person and one line on why you think it fits. You keep a dated record that the introduction was requested, which matters if your compliance team, a professional body or the client asks later.

It is not a data-sharing agreement. No records, exports, screenshots or confidential detail move under it. Questions about the company's data are handled later, directly between the company and SourceX, and nothing is delivered without an executed agreement and the company's authorization.

Template 1: one-paragraph consent by email

Send this after the conversation in which the owner said yes, and ask them to reply confirming. A reply email is a simple, dated record.

Use this wording for {compensation_disclosure} unless your firm requires its own:

Template 2: signed consent record for regulated firms

CPA firms, law firms and wealth management firms often prefer a signed page that sits in the client file. Keep it to one page.

How to personalize the form

FieldWhat to writeWhy it matters
{company_legal_name}The legal entity name, plus any trading nameQualification and credit attach to the company
{size_band}A band such as 50-99, 100-249 or 250-499 full-time employees at peakAvoids sharing payroll detail; SourceX confirms the 50+ full-time employees at peak (contractors excluded) baseline with the owner
Contact personThe owner, CEO, CFO or another authorized representativeOnly an authorized sponsor can move the company forward
One-line fit noteSystems and years, not contents, for example CRM since 2014 and ticketing since 2016Enough for a first conversation without any confidential detail
{compensation_disclosure}The standard wording above, or your firm's required languageProfessional rules may dictate the form of disclosure
{meeting_date}The date the owner agreed in conversationShows the consent followed a real discussion, not a cold approach

If you are unsure which band applies, the guide to finding a private company's employee count and peak headcount explains where the number usually lives. Also decide before sending whether a reward would be paid to you or to your firm, because the disclosure should name the right recipient; see whether a referral fee should be paid to you or your firm.

What do the professional rules say about consent and disclosure?

For most partners, written consent is simply good practice. For licensed professionals it can be a requirement, and the details vary.

  • CPAs. The AICPA's Commissions and Referral Fees Rule (ET 1.520) bars a member in public practice from accepting a commission for recommending a product or service to a client when the firm also performs an audit, review, certain compilations or an examination of prospective financial information for that client, and requires permitted referral fees to be disclosed to the client; see the AICPA Code of Professional Conduct. State boards can be stricter.
  • Lawyers. Each state adopts its own version of the ABA Model Rules of Professional Conduct. An Illinois bar advisory opinion, ISBA Opinion 12-03, treats a client's identity as confidential, so client consent is needed before a lawyer shares a client's name with another professional.
  • Registered representatives. FINRA reported that the SEC approved new Rule 3290 on outside activities on September 15, 2026, with the effective date to be announced; until then Rules 3270 and 3280 apply. Tell your firm's compliance team before you register as a partner.

The question of whether you have to disclose a referral fee goes further by profession. This is general information, not legal, tax or financial advice. Confirm with your own counsel, tax adviser or professional body before acting.

Follow-up timing

WhenWhat to do
Same day as the conversationSend Template 1 while the discussion is fresh
No reply after five business daysSend one short reminder, then stop
Consent receivedFile it with the date, then submit the company or send your referral link
Owner asks to waitRecord a revisit date and submit nothing
Owner withdraws consentTell SourceX promptly and make no further contact on the topic

What never to include

The form is about permission, so keep it free of anything that looks like data, a promise or a price.

  • Records, exports, screenshots, org charts, customer lists or financial statements, even as attachments for context.
  • Any promise of payment, price, buyer interest or deal timing.
  • Typed reward amounts; describe the reward as a share of SourceX's fee instead.
  • A statement that the company qualifies; only SourceX's review decides fit, and a tool result is not approval.
  • Personal details about employees or customers.
  • Language saying SourceX buys the data; companies license it and keep ownership.

How the consent fits the introduction

  1. You and the owner discuss the idea in an ordinary conversation.
  2. The owner confirms consent by email reply or signature.
  3. You submit the company through the referral form, or send the owner your referral link so they can apply at sourcex.si/apply with your code attached.
  4. SourceX reviews size, history, data breadth and rights with the company's sponsor.
  5. The company lists its systems and records in a data inventory, then agrees price and terms before buyers review anything.
  6. The deal closes, the data is delivered and the company is paid.

Partners earn 25% of the eligible platform fees SourceX actually collects from the referred company's licensing deals, capped at $100,000 per referred company. Rewards become payable only after the buyer pays and SourceX receives its fee, and no reward is guaranteed. The full sequence is on how it works.

Next step

Copy Template 1 into your email drafts and fill in the placeholders for the next owner who says yes. If you have not joined yet, register as a partner first; once consent is on file, the introduction email builder drafts the introduction itself.

  1. Step 1Share your linkSend your personal link to a company you know.
  2. Step 2Company appliesThe company applies itself at /apply.
  3. Step 3Buyer selects and paysThe buyer selects and pays for the data and SourceX receives its fee.
  4. Step 4You get your rewardYour share of SourceX fees becomes payable.

Common questions

Is an email reply enough, or does the client need to sign a form?

For most partners a reply email confirming consent is a clear, dated record and is enough. Licensed professionals should follow their firm's policy and professional rules, which may call for a signed document or specific disclosure wording. Whichever you use, keep it in the client file with the date, the facts you were allowed to share and the compensation disclosure you gave.

Do I need a separate consent for each company an owner controls?

Yes. Each company is introduced and assessed on its own, and each may have different decision-makers, systems and rights. If an owner controls several businesses, list each legal entity in the consent or send one consent per company. That keeps the record clear if one company proceeds and another does not, and avoids sharing facts about a company the owner did not approve.

Should the consent form say how much I could earn?

Describe the basis rather than typing figures. You can say the reward is a share of SourceX's fee, set at 25% of the eligible fees SourceX collects and capped at $100,000 per company, paid only after the deal closes and SourceX is paid, and never deducted from what the company receives. If your professional rules require more specific disclosure, follow them.

What happens if the owner withdraws consent after I submit the company?

Tell SourceX promptly and stop any further contact on the subject. Whether the company continues any discussion is entirely the company's decision, made directly with SourceX. Record the withdrawal date alongside the original consent so your file shows the full history, and check the program terms for how a withdrawn introduction is treated.

Can the owner apply directly instead of me submitting the company?

Yes. Your referral link sends the owner to the company application with your referral code attached, so the company applies itself and your credit is preserved. Get written consent first anyway, because you are still recommending SourceX and receiving compensation if a deal closes, and the owner should have that disclosure in writing.

Free resources

By SourceX Partnerships Team · Published 2026-10-09 · Updated 2026-10-09

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