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SOCIAL SECURITY ADMINISTRATION Form Approved OFFICE OF DISABILITY ADJUDICATION AND REVIEW OMB No. 09600662 MEDICAL SOURCE STATEMENT OF ABILITY TO DO CORRELATED ACTIVITIES (MENTAL) NAME OF INDIVIDUALSOCIAL
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The Office of Disability Adjudication is a government agency responsible for determining eligibility for disability benefits.
Individuals who believe they are disabled and unable to work may be required to file with the Office of Disability Adjudication.
To fill out the Office of Disability Adjudication, individuals must provide detailed information about their medical condition and work history.
The purpose of the Office of Disability Adjudication is to assess if an individual meets the criteria for disability benefits.
Information such as medical records, employment history, and statements from healthcare providers must be reported on the Office of Disability Adjudication.
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