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REQUEST FOR SOCIAL SECURITY DISABILITY EXTENSION Please Print NAME (Last, First) SOCIAL SECURITY# PHONE NUMBER ADDRESS CITY/ST/ZIP RETURN THIS FORM WITH A COPY OF YOUR NOTICE OF AWARD LETTER FROM
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Request for - uscom is a formal application or petition for specific action related to uscom.
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Individuals or entities who need to request a specific action related to uscom are required to file the request.
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To fill out a request for - uscom, one must provide detailed information about the specific action being requested and any relevant supporting documentation.
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The purpose of a request for - uscom is to formally ask for a specific action to be taken related to uscom.
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Information such as the reason for the request, any supporting documentation, and contact information of the requester must be reported on a request for - uscom.
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