Authorization Number : 14900254
Agency Series No. : QSU-02
Status : Active
Agency Web Link :
Agency : AGE
Confidential Description : FILES CONTAIN CONFIDENTIAL INFORMATION SUCH AS SOCIAL SECURITY,MEDICAID & FEDERAL ID NUMBERS
Division :
Vital Description :
Section :
Record Title : PASSPORT PROVIDER CERTIFICATION
Revision : 0
Record Description : FILES CONTAIN COMPETED FORMS REQUIRED TO BECOME A CERTIFIED PASSPORT PROVIDER. FORMS LIST CONFIDENTIAL INFORMATION SUCH AS SOCIAL SERCURITY,MEDICAID,FERDRAL ID NUMBERS,AS WELL AS BUSINESS/COMPANY INFORMATION.