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Form SSA-L4112 Employer Verification of Earnings After Death

ICR 201901-0960-005 · OMB 0960-0472 · Object 88594801.

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Document Metadata
File Typeapplication/octet-stream
File TitleForm SSA-L4112 Employer Verification of Earnings After Death
SubjectRequest for Employer Information
AuthorSSA
File Modified2019-05-24
File Created2019-05-24
Conversion Statefailed_conversion