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U.S. SSA Form ssa-ssa-827 Form Approved OMB No. 0960 0623 WHOSE Records to be Disclosed NAME (First, Middle, Last) SSN Birthday (mm/dd/by) SSA USE ONLY NUMBER HOLDER (If other than above) NAME AUTHORIZATION
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How to fill out US SSA Form SSA-SSA-827:

01
Begin by providing your personal information. Fill in your full name, Social Security number, and date of birth.
02
Next, indicate your relationship to the person for whom this form is being completed. Specify whether you are the claimant, parent, guardian, or representative.
03
Provide the claimant's personal information, including their full name, Social Security number, and date of birth.
04
Specify the reason for completing this form. Indicate whether it is for an initial claim, reconsideration, hearing, or other purposes.
05
Use Section A to provide detailed information about the medical or educational records being released. Clearly state the types of records, their locations, and the time frame they cover.
06
In Section B, indicate the purpose for the release of information. Specify if it is for a disability claim, educational evaluation, or any other specific purpose.
07
If applicable, complete Section C by providing the names of individuals or organizations that may have additional information related to the claimant's condition.
08
Review the completed form for accuracy and ensure all necessary sections are filled out.
09
Date the form and sign it. If you are completing the form on behalf of the claimant, include your title or capacity.

Who needs US SSA Form SSA-SSA-827:

01
Individuals who are applying for Social Security disability benefits may need to complete this form.
02
Parents or guardians who are submitting a claim on behalf of a minor may also need to fill out this form.
03
Representatives or attorneys assisting with a disability claim may be required to complete this form on behalf of their clients.
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The US SSA Form SSA-SSA-827 is a form used to authorize the Social Security Administration to release medical information for disability determinations.
Individuals who are applying for disability benefits through the Social Security Administration are required to file the US SSA Form SSA-SSA-827.
To fill out the US SSA Form SSA-SSA-827, you need to provide personal information, sign the authorization, and specify the period for which you authorize the release of medical information.
The purpose of the US SSA Form SSA-SSA-827 is to authorize the Social Security Administration to obtain medical records and information to evaluate an individual's disability claim.
The US SSA Form SSA-SSA-827 requires individuals to report their personal information, such as their name, Social Security number, contact details, and the period for which they authorize the release of medical information.
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