REQUEST FOR LETTER AUTHENTICATION
I am requesting a letter of authentication regarding my Medicarsafety.com Incorporated safety training certification.

I understand that there is a process fee connected with this request in the amount of $25.00 USD.

I further understand that if I elect not to utilize the PayPal payment option below, I must submit payment along with the completed Request Form in the form of a money order for this service. Download the Letter of Authentication here. Mail the completed form along with your payment to:

Medicarsafety.com Inc.
2925 W. Birchwood Ave.
Chicago, Illinois    60645-1219

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