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Form SSA454BK (022023) OF
Discontinue Prior Editions
Social Security Administration Page 1 of 12
OMB No. 09600072CONTINUING DISABILITY REVIEW REPORT SSA454BK
PLEASE READ THIS INFORMATION BEFORE COMPLETING
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Who needs form omb 0960 0072?
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Individuals applying for social security benefits or services administered by the Social Security Administration (SSA) need form OMB 0960 0072.
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What is form omb 0960 0072?
Form OMB 0960-0072 is a Social Security Administration form used to collect information to determine eligibility for Social Security benefits.
Who is required to file form omb 0960 0072?
Individuals applying for Social Security benefits, such as retirement or disability benefits, are required to file Form OMB 0960-0072.
How to fill out form omb 0960 0072?
To fill out Form OMB 0960-0072, applicants must provide personal information, details regarding their employment history, and any relevant medical information, following the instructions provided with the form.
What is the purpose of form omb 0960 0072?
The purpose of Form OMB 0960-0072 is to assess an individual's qualifications for Social Security benefits based on their work history and medical condition.
What information must be reported on form omb 0960 0072?
The form requires information such as the applicant's name, Social Security number, work history, and any impairments or medical conditions that may affect eligibility.
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