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Form SSA89 (022018) Discontinue Previous Editions Social Security Administration Page 1 of 2 OMB No.09600760Authorization for the Social Security Administration (SSA) To Release Social Security Number
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The SSA-89 form, known as the Authorization for the Social Security Administration (SSA) to release information, allows individuals to authorize the SSA to disclose their personal information to third parties.
Individuals who need to authorize the SSA to release their personal information to a third party, such as lenders or employers, are required to file the SSA-89 form.
To fill out the SSA-89 form, you need to provide your personal information, including your name, Social Security number, and the intended recipient of the information, and then sign and date the form.
The purpose of the SSA-89 form is to grant permission to the SSA to share an individual's personal information with authorized third parties, which can facilitate processes like loan approvals or employment verification.
The form requires the individual's full name, Social Security number, address, and the name and address of the person or organization that will receive the released information.
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