Please type your "Referral Number" in the boxes provided on both top and bottom copies.

Please make the following setting changes in your browser before printing...
Mozilla FireFox:
1. Click the File menu, Page Setup.

2. Find the "Headers & Footers" area and remove all the gibberish in the respective fields.

3. Set all margins to 0.5"

Hit OK and there you have it.

Internet Explorer:
1. Click Page Setup

2. set all margins to 0.5

3. Find the "Headers & Footers" area and remove all the gibberish in the respective fields.

4. Set all margins to 0.5"

Use Print Preview with all browsers in order to verify proper set up.