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I am under 18. How do I submit a Self-Query?

If you are under 18, you must call the Customer Service Center to request a Self-Query by phone. We will complete the form on the phone using the personal and payment information you provide. We will ask for the following:

  • Your license number, if you have a professional health care license.
  • Your Social Security number

After we complete the Self-Query form over the phone, we will mail the completed form to you by U.S. Certified First-Class Mail; a signature is required on delivery. You will then need to:

  1. Take the mailed form to a notary, sign it in front of the notary.
  2. Mail the notarized form to us.

Once we receive it, we will process your request and charge the payment method you provided. After processing, your Self-Query response will be mailed to you by U.S. Certified First-Class Mail; a signature is required on delivery.

Please note that processing typically takes 6-8 weeks to complete.

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