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Social Services Agencies
Request Access Code

Web Verify can be used in performing verifications for the following programs:

  • TANF (Temporary Assistance to Needy Families)
  • Food Stamps
  • INS
  • Medicaid
  • Child Support

Please fill in the following information to request a group access code. This access code will bypass the charge for the verification. After completion of this form, you will be notified of your code via phone or e-mail. The code will be valid for 180 days.

 

*Company Name:
*Contact Name:
Address:
State:
City:
Zip:
*Phone:
Fax:
*Email: