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Discrimination Complaint Form
ICR 201001-0960-008 · OMB 0960-0585 · Object 15693001.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Discrimination Complaint Form |
| Subject | The purpose of this form is to assist you in filing a complaint with the Social Security Administration (SSA). |
| Author | SSA |
| File Modified | 2010-05-24 |
| File Created | 2010-05-24 |
| Conversion State | complete |