SSA-827 (with electronic signature(eAuthorization)

Authorization to Disclose Information to the Social Security Administration

eAuthorization final eView screenshots

SSA-827 (with electronic signature(eAuthorization)

OMB: 0960-0623

Document [pdf]
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eView Summary Screen:

Figure 1

eView/ Create e827 button:

Figure 2

eView/ eAuthorization screen:

Figure 3

eView/ eAuthorization Yes response screen:

Figure 4

eView/ eAuthorization No response screen:

Figure 5


File Typeapplication/pdf
AuthorManisha Mehta
File Modified2012-09-25
File Created2012-09-25

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