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Form SSA89 Form Approved OMB #09600760 Social Security Administration Authorization for the Social Security Administration (SSA) To Release Social Security Number (SSN) Verification Printed Name Date
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OMB 0960-0760 is a form used by the Social Security Administration to collect information on an individual's work history and earnings.
Individuals who are applying for Social Security benefits or need to report their earnings to the Social Security Administration are required to file OMB 0960-0760.
OMB 0960-0760 can be filled out online on the Social Security Administration's website or in person at a local Social Security office.
The purpose of OMB 0960-0760 is to gather information on an individual's work history and earnings in order to determine eligibility for Social Security benefits.
Information such as earnings from work, self-employment, and any other income sources must be reported on OMB 0960-0760.
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