Nevada DETR Web File Transfer Client - Forms -DETR – BPC Identity Documents Upload Form

DETR – BPC Identity Documents Upload Form

Fields marked with an asterisk (*) are required.

Contact Information

First Name*

Last Name*

Last four digits of the Social Security Number*

Street Address of Contact*

City*

State*

Zip Code*

Telephone Number*

Employer*

Dates of Employment*

Employer Contact*

Employer Telephone Number*

Documentation Upload

Files (Max Size 100MB)(Max File Allowed 10)*

Confirmation Required

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