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TodaysDate:CONFIDENTIAL ClientWorksheet NextFollowUp:Surname: SpouseName: Address: City: ZIP: Phone: Email: Your DOB: Spouse DOB: SPOUSE×1SocialSecurityInformationSPOUSE×2SocialSecurityInformationBenefitatAge62:
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The SS Rescue Client Worksheet is a document used to gather information about clients who are in need of social services assistance.
Clients who require social services assistance are required to file the SS Rescue Client Worksheet.
The SS Rescue Client Worksheet can be filled out by providing accurate information about the client's situation and needs.
The purpose of the SS Rescue Client Worksheet is to assess the client's needs and determine the appropriate social services assistance.
Information such as income, household size, medical condition, and other relevant details must be reported on the SS Rescue Client Worksheet.
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