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Identity and Access Management
LID Request
LID Request
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Lakeland ID Number Request Form. Requests are answered in the order received, please be patient during open registration periods.
Full Name
Date of Birth
(mm/dd/yyyy)
Last four digits of your Social Security Number
Current Contact Information
Street
City
State
Zip
eMail Address
Home Phone Number
Cell Phone Number
Contact Information in our system (only provide if different than current)
Personal Street
Personal City
Personal State
Personal Zip
Personal eMail address
Personal Home Phone
Personal Cell Phone
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code