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Form SSA89 (042017) Social Security Administration OMB No. 09600760Authorization for the Social Security Administration (SSA) To Release Social Security Number (SSN) Verification Printed Name: 2370:BWA×Namexxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
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This document is an SSA-89 form used for verification of social security numbers.
Individuals applying for certain services or benefits that require verification of their social security number.
The form should be completed accurately and signed by the individual whose social security number is being verified.
The purpose is to verify the accuracy of the social security number provided by an individual.
The form typically requires the individual's name, social security number, signature, and date.
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