SSA-827 with wet signature(paper version) or EDCS Screens with verbal attestation (Intranet version)

Authorization to Disclose Information to the Social Security Administration

827 EDCS Screens

SSA-827 with wet signature(paper version) or EDCS Screens with verbal attestation (Intranet version)

OMB: 0960-0623

Document [pdf]
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SSA-827 eAuthorization
EDCS Version 32.0

“No” Option Selected for Adult claimant

“Yes” option selected for Adult claimant

Initial screen for Child claimant

Child Claimants signing on own behalf

Child Claimants signing on own behalf and less than 12 years old.

Third-Party (who was already enter into EDCS) signing for Child Claimants

Third-Party (Adding new person) signing for Child Claimants


File Typeapplication/pdf
File Title827 eAuthorization
Author890617
File Modified2017-03-30
File Created2017-03-17

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