Ssa-787 (05-2010)
Form SSA-787 (05-10).pdf
Application to Act as Representative Payee
SSA-787 (05-2010)
OMB: 3220-0052
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3220-0052 can be found here:
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| File Type | application/pdf |
| File Modified | 2016-08-05 |
| File Created | 2016-08-05 |