Verification Information
I understand that you need to be reasonably sure that I am making this request regarding my own information, or that I am authorized to make a request about someone else’s information. Therefore, I am providing the information below, which is accurate to the best of my knowledge, so that you can attempt to verify my request. I understand that you will use the verification data provided to cross-check information available in your records to the extent possible, and that you may require additional documentation if I am not making the request for my own information, and/or may deny my request if the information provided is insufficient for purposes of verification. (Check appropriate box and provide associated verification information as applicable):
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