This is the form to use to get permission to obtain information and/or records from SSA about a claimant or beneficiary you do not represent. The claimant or beneficiary may give consent to an individual or an organization to obtain the information and records.
To save files, right click and choose 'Save Target As' or 'Save Link As'
| Attachment | Size |
|---|---|
 ssa-3288_1_.pdf | 61.35 KB |
Library Type:
Library Categories:
Forward
Print