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User Name   - must be 6-19 characters
                     - lower case alphanumeric and numeric                  
                     - any special characters except comma and question marks                                                                                                                

 PIN - Last 4 digits of Social Security Number
 
Date of Birth Format    mm/dd/yyyy

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Last 4 digits of Social Security Number

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Date of birth must be typed as two digit month/two digit day/four digit year, (example: 04/26/2019).

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* Indicates required field

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