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NAME AGE DATE of BIRTH SOC. SEC. # ADDRESS PHONE CITY STATE ZIP Length at current address List below residences for the prior five years: Place of employment Medical Insurance: Yes or No(circle)Date
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Date of birthsoc stands for Date of Birth Statement of Compliance. It is a form used to certify the accuracy of an individual's date of birth.
Employers and individuals are required to file the date of birthsoc form.
Date of birthsoc can be filled out online or by mail, providing accurate information about the individual's date of birth.
The purpose of date of birthsoc is to ensure that the date of birth information on record is accurate and up to date.
The date of birth statement of compliance must include the individual's full name, date of birth, and signature.
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