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Form SSA-5-BK (revised) SSA-5-BK (revised) Application for Mother's or Father's Insurance Benefits
ICR 202503-0960-003 · OMB 0960-0003 · Object 154411301.
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Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | Form SSA-5-BK (revised) SSA-5-BK (revised) Application for Mother's or Father's Insurance Benefits |
| Author | Liz V |
| File Modified | 2025-03-13 |
| File Created | 2025-03-06 |
| Conversion State | partial |