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Er to be granted EIV access authorization rights. *A. Authorized User Details Name (last, first, and middle initial): WASS User ID (M-ID): Position Title: Phone Number: Email Address: Fax Number: Type of work which involves use of upfront income verification (UIV) data that is contained in the EIV system (If this request is being submitted to Expire User Access for Contract/Property or to Terminate User Role, as indicated under section C. Type of Action Requested, state None.

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