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form 1696
form 1696

Fillable Form SSA-1696-U4 (03-2011) - Appointment of Representative - SSA - ssa

Description

Form SSA-1696-U4 03-2011 ef 03-2011 Destroy Prior Editions Information from these matching programs can be used to establish or verify a person s eligibility for Federally-funded or administered benefit programs and for repayment of payments or delinquent debts under these programs. SSA does not need to authorize the fee if a third-party entity or a government agency will pay from its funds the fee and any...
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