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Authorization to Disclose information to Social Security Administration

ICR 202101-0960-005 · OMB 0960-0623 · Object 108151901.

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Document Metadata

Record metadata
application/octet-stream
Authorization to Disclose information to Social Security Administration
Beneficiaries authorize and request discloser
SSA-827, 827, authorization to disclose information to the social security administration, authorization to disclose information
SSA
Adobe LiveCycle Designer ES 9.0
2021-02-11
2015-07-27
complete