Step 2 of 3, ERE: Send Individual Response, Social Security

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ERE: Send Individual Response

Review

Destination and Request Information

Destination:AK - Anchorage ODAR [T1G]

SSN:111-11-1111

RQID:1

RF:P

DR:F

CS:

Attach and Upload Files

A maximum of 25 files can be added and all files must total less than 200MB.
File types accepted: .wpd, .doc, .docx, .txt, .xls, .xlsx, .pdf, .rtf, .tiff, .tif.
Please do not upload password-protected files because they cannot be processed.

File

1

:

Document Type:

Treatment Source:

From Date:

mm/dd/yyyy

To Date:

mm/dd/yyyy

Document Date:

mm/dd/yyyy

Notes:

Add Files:

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