Electronic Records Express

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Send Response for Individual Case

Destination and Request Information (Step 1 of 3)

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Enter 3 character site code or select state and destination:

Site code: OR State:

Destination:

Enter the following information from the request letter or barcode:

SSN:

RQID (Request ID):

RF (Routing Field):

- P D or blank No RF or No Barcode

DR:

- F S No DR or No Barcode

CS:

(enter only if applicable)

Do you have records to submit for this case?

Yes No