Electronic Records Express

RepID:ZZZZZZZZZZ

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Destination and Request Information (Step 1 of 3)

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Enter the following information from the request letter or barcode:

RQID (Request ID):

Site code:Y06

State:New Hampshire

Destination:NH - Manchester ODAR [Y06]

Claimant SSN:XXX-XX-5106

RF (Routing Field):D

DR:F