Consent to Participate in Medical Resident FICA Refund Claim

In order to participate in the refund claim, you will need to complete the “Duke University - Medical Resident Consent Form” and affirm, in writing, to the following:

Please click here to view and print the “Duke University - Medical Resident Consent Form 1991-1993”

Upon completion of the form, please mail your signed form by October 29, 2010 to:

Duke University
C/O Ernst & Young LLP, Attn.: Robin Davidson
99 Wood Avenue South, Iselin, NJ 08830

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