Member Training - ECF Choices Attestation Employer of Record (EOR)/Representative NameEmployer of Record (EOR)/Representative Name(Required) First Last Member NameMember Name(Required) First Last Member CDTN Person IDMember CDTN Person ID Need help finding your CDTN Person ID?Second Member Name (If Applicable)Second Member Name (If Applicable) First Last Second Member CDTN Person ID (If Applicable)Second Member CDTN Person ID (If Applicable) EOR/Representative EmailEOR/Representative Email(Required) EOR/Representative BirthdayEOR/Representative Birthday(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920EOR/Representative Last Four Digits of Social Security NumberEOR/Representative Last Four Digits of Social Security Number(Required) EOR/Representative CDTN Person IDHiddenEOR/Representative CDTN Person ID EOR/Representative Signature By signing, I attest that this training was completed solely by me. EOR/Representative Signature(Required)CAPTCHA