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Request for Appointed Representative Services and Direct Payment

ICR 202108-0960-007 · OMB 0960-0732 · Object 114045101.

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Record metadata
application/octet-stream
Request for Appointed Representative Services and Direct Payment
Request for Appointed Representative’s Direct Payment Information
SSA-1699, 1699, Registration for Appointed Representative Services and Direct Payment, Registration, Appointed Representatives,
SSA
Adobe LiveCycle Designer ES 8.2
2013-12-31
2010-12-07
complete