SSA-827 (with electronic signature(adult first person only)

Authorization to Disclose Information to the Social Security Administration

eAuthorization final i3341 screens 022012 Finals

SSA-827 (with electronic signature(adult first person only)

OMB: 0960-0623

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File Typeapplication/pdf
Author365613
File Modified2012-02-02
File Created2012-02-02

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