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#18-002711-0045
Supplemental Questionnaire

Last Name
First Name
1

Do have experience processing claims?  If so, please describe your experience and where you obtained this experience. If you do not have this type of experience, please write N/A.  

2

Do you have experience creating and manipulating spreadsheets using Microsoft Excel?   If so, please describe your experience and where you obtained this experience. If you do not have this type of experience, please write N/A.  

3

Do you have experience with or knowledge of Federal and State Disability Retirement Laws and Regulations?  If so, please describe your experience and where you obtained this experience. If you do not have this type of experience, please write N/A.  

4

Do you have experience with disability claims determinations and terminology?   If so, please describe your experience and where you obtained this experience. If you do not have this type of experience, please write N/A.  


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