Lifespan Dependent Eligibility Verification

Site Registration - Step 1

Please enter the following information in order to register for access to this site.

Your Audit ID:
(Please enter your Audit ID exactly as it appears in your Dependent Verification Packet.)
Date of Birth:
(Enter the date in "MM/DD/YYYY" format. For example, January 5, 1970 should be entered as "01/05/1970".)
Enter the text as it is shown in the yellow box:
(Hit the refresh button if you have difficulty reading the text)
Enter the code as it appears