Commercial Requester Account Forms
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Information Security Statement (INF 1128 Rev. 09/2006)
The INF 1128 form (PDF):
- must be signed by any persons who have access to department information
- must be completed and retained at the worksite of the CRA Holder.
- Must be re-certified annually
Forms must be:
- printed and completed by hand, or
- printed and completed by typewriter, then signed
- completed on-line, printed, and signed.

Telephone: 1-800-777-0133 Hearing Impaired: TTY 1-800-368-4327
