Please fax the request and authorization to 404-778-7935, attention Sandi Borjas, with the following information:

• Dates of Employment with Emory
• Department of Employment with Emory
• The address and fax number of the institution or person you would like to receive the claims history.
• Residents and Fellows must include their social security number.

If you have any questions, please call Sandi Borjas at 404-778-7931.