SSA-1372-BK (Domestic)--State/Local/Tribal Government

Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance

OMB: 0960-0105

IC ID: 182786

Documents and Forms

Document Name Document Type
Form SSA-1372-BK SSA-1372-BK (Domestic)--State/Local/Tribal Government Form
SSA-1372-BK Advanced Notice of Termination of Child's Benefits SSA-1372-BK (revised).pdf Form
SSA-1372-BK (current).pdf Advance Notice of Termincaiton fo Child's Benefits (current) IC Document