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Demographic Details

Step Two of the application is the demographic details.

Everything in the grayed-out boxes (PPID, PA Secure ID, Last Name, First Name, Middle Initial, and Social Security Number) cannot be edited on this page. All other fields can be entered or edited for corrections.

Common Problem #3

If the field does not delete previous information – highlight the information, right-click with your mouse, and select either “Cut” or “Delete” to remove the information. You should then have a blank field again.

Screenshot Demographic Details

Please enter all information with a red asterisk (*) next to the field and click Next at the top of the page.