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Get Louisiana Electronic Event Registration System User Id Request ... - New Dhh Louisiana

Reated: / / User ID: All Fields are required to complete Registration SECTION 1 - USER INFORMATION Middle: First Name: Last Name: Job Title: Phone: Extension: Email:* User Is: VR CENTRAL OFFICE CLERK OF COURT LOCAL REGISTRAR OTHER (Specify Below): DEPUTY LOCAL REGISTRAR Indicate which LEERS Modules you are requesting access to: BIRTH DEATH FETAL DEATH MARRIAGE (ORLEANS) * This email will be used to send password information, Personal Identification Numbe.

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