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Fillable Petition To Obtain Approval of a Fee for ... - Social Security - ssa

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SOCIAL SECURITY ADMINISTRATION TOE 850 PETITION TO OBTAIN APPROVAL OF A FEE FOR REPRESENTING A CLAIMANT BEFORE THE SOCIAL SECURITY ADMINISTRATION I request approval to charge a fee of for services performed as the representative of My Services Began: Month IMPORTANT INFORMATION ON REVERSE SIDE (Show the dollar amount) Form Approved OMB No. 0960-0104 u u Fee$ / Day / Year Type(s) of claim(s) My Services...
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