Forgot User ID

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	Forgot User ID The * (in red) indicates required fields. (Note: When the Add/Save button is present, all fields with * are only required when selecting Add/Save for that section.) Enter the following account information. We will use these values to help identify your account. If we find a match, an email will be sent to your email address on record. User Type User Type is a required field. First Name First Name is a required field. The text field contains invalid characters. Acceptable characters include [a-z], [A-Z], [0-9], spaces and characters [.?!,()-_+';:"]. Last Name Last Name is a required field. The text field contains invalid characters. Acceptable characters include [a-z], [A-Z], [0-9], spaces and characters [.?!,()-_+';:"]. Birth Date Birth Date is a required field. Birth Date is not valid or in the correct format. Enter a valid value in the format 'MM/DD/YYYY'. Last 4 of SSN Last 4 of SSN is a required field. Last 4 of SSN is not valid or in the correct format. Enter a valid value in the format '9999'. Delegate Code Delegate Code is a required field. Delegate Code is not valid or in the correct format. Enter a valid value in the format '99999999'.