f) 20 CFR 411.560 - SSA-1401, Split Payment Situations

The Ticket to Work and Self-Sufficiency Program

OMB: 0960-0644

IC ID: 190323

Documents and Forms

Document Name Document Type
Form SSA-1401 f) 20 CFR 411.560 - SSA-1401, Split Payment Situations Form
Form SSA-1401 f) 20 CFR 411.560 - SSA-1401, Split Payment Situations Form
SSA-1401 Employment Network Split Payment Request Form SSA-1401 (revised).pdf Form
SSA-1401 (current).pdf Current SSA-1401 IC Document