Hhs 745 2026

1. Click ‘Get Form’ to open the HHS-745 in the editor.
2. In Section A, check the appropriate box for the reason for issuance of the ID badge. Clearly print your full legal name and any other names used.
3. Enter your date of birth in mm/dd/yyyy format, followed by your place of birth (city and state or city and country).
4. Provide your Social Security Number and indicate if you are a U.S. citizen. If not, specify your citizenship.
5. Fill in your position title, work location, office address, work phone number, and email address.
6. If applicable, complete items related to contractors by entering company details including name, address, and phone number.
7. Sign to authorize identity verification and enter the date of your signature.
8. Review Sections B through E as they will be completed by HHS officials. Ensure all information is accurate before submission.

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