SSA-3379 Function Report - Child Age 12 to 18th Birthday

Function Report - Child (Birth to 1st Birthday, Age 1 to 3rd Birthday, Age 3 to 6th Birthday, Age 6 to 12th Birthday, Age 12 to 18th Birthday), 20 CFR 416.912 and 416.924a(a)(2)

SSA-3379 Revised

Function Report - Child (Birth to 1st Birthday, Age 1 to 3rd Birthday, Age 3 to 6th Birthday, Age 6 to 12th Birthday, Age 12 to 18th Birthday), 20 CFR 416.912 and 416.924a(a)(2)

OMB: 0960-0542

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File Typeapplication/pdf
File TitleFunction Report - Child Age 12 to 18th Birthday
SubjectFunction Report - Child Age 12 to 18th Birthday, SSA-3379-BK, SSA-3379, 3379, Function Report Child
AuthorSSA
File Modified2013-12-11
File Created2013-03-22

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