Authorization Number : 240-0018
Agency Series No. : OP-20
Status : Active
Agency Web Link :
Agency : TTA
Confidential Description : N/A-Load
Division :
Vital Description :
Section :
Record Title : Request for Revenue
Revision : 0
Record Description : A form filled out to request funding for a customer, includes the customer's name, address, contract number, social security number and amount to be paid. (Refunds and Electronic Funds Transfer Fees are included in this type of form.) Confidential - Revised Code 3334.11