Application to Collect A Fee for Payee Services (State/local government offices)

Application to Collect A Fee for Payee Services

OMB: 0960-0719

IC ID: 9776

Documents and Forms

Document Name Document Type
Form SSA-445 Application to Collect A Fee for Payee Services (State/local government offices) Form
SSA-445 Application to Collect a Fee for Payee Services (State/local government) SSA-445 - Revised.pdf Form