You may complete this form if you have already
received a PIN, and would like to request that another copy be sent to you.
By telling us your Social
Security Number, the first two characters of your last name, and
your date of birth, you are requesting a PIN. You are also certifying
that you are the person identified by those items. If you purposely certify
to false or misleading information, you may be fined $20,000, sent to prison, or both.
If you are not able to certify to all of the above you must not
transmit the PIN information and must exit this form immediately using the
PIN HOME
button below. We will not save your data.
Answer the questions
and select SUBMIT REQUEST.
After you select the SUBMIT REQUEST button,
please wait for our confirmation page to appear on your screen.
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