Request for Internet Services - Authentication -- Special Notice Option

Request for Internet Services-Authentication; Automated Telephone Speech Technology-Authentication

Acknowledgement Screen

Request for Internet Services - Authentication -- Special Notice Option

OMB: 0960-0596

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Acknowledgement For Online Services 	

Social SK1llity Online

Social Security Oluine Services

http~l/www.socialsecurjty .govl

Acknowledgement
For Online
Services
IMPORTANT: You can use this website to gain
access to your personal information. If you are
acting on behalf of another person, or if you are a
Representative Payee, you cannot use this online
service and should contact a Social Security
representative.
Any person who knowingly and willingly makes any
representation:
1. 	 that is false to obtain information from Social
Security records, and/or
2. 	 that is intended to deceive the Social Security
Administration (SSA) as to the true identity of
the individual ,
could be punished by a fine or imprisonment, or
both.
Please select the link below to read about SSA's
legal authority for collecting information.
Paperwork Reduction Act.
I have read and agreed to the above statement. I
am the individual whose personal information I
am requesting.
I Agree

I

I Exit I
If you need immediate
assistance:

You may call us Monday through Friday: 7:00 AM ­
7:00 PM at:

1-800-772-1213

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Acknowledgement For Online Services

If you are deaf or hard-of-hearing, call our toll-free
TTY number:
1-800-325-0778
Privacy Policy I Website Policies & Other Important
Information I SHe Map

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