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Certificate of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits (SSA-4111)
ICR 202608-0960-005 · OMB 0960-0759 · Object 171627600.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Certificate of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits (SSA-4111) |
| Author | LP/PPDX/AES |
| Last Modified By | Acrobat PDFMaker 26 for Word |
| File Modified | 2026-04-06 |
| File Created | 2026-04-06 |
| Conversion State | complete |