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ssa 561
ssa 561

Fillable Request for Reconsideration ( SSA - 561 ) - Social Security - ssa

Description

Form SSA-561-U2 08-2010 ef 08-2010 Prior Edition May Be Used Until Exhausted Claims Folder ADMI ISTRATIVE ACTIO S THAT ARE I ITIAL DETERMI ATIO S See G 03101. SOCIAL SECURITY ADMINISTRATION Form Approved OMB No* 0960-0622 TOE 710 Do not write in this space REQUEST FOR RECONSIDERATION NAME OF CLAIMANT NAME OF WAGE EARNER OR SELF-EMPLOYED PERSON If different from claimant. CLAIMANT CLAIM NUMBER if different from SSN ...
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