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FOOT & ANKLE SPECIALISTS PATIENT DEMOGRAPHIC SHEET Chad A Summy, DPM Shannon M Lensing DPM Michelle L Hinze, DPM Donald E Buddecke, DPM2705 Samson Way 1301 N 72 nd St 18010 R Plaza, Suite 106 Bellevue
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01
Obtain a social security form from the relevant government agency.
02
Fill in your personal information accurately, including your full name, date of birth, and social security number.
03
Provide information about your income and work history.
04
Submit any required documentation along with the form.
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Double check all information before submitting the form.

Who needs social security - foot?

01
Individuals who are eligible for social security benefits, such as retirees, disabled individuals, and survivors of deceased workers.
02
People who have paid into the social security system through payroll taxes during their working years.
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Social security refers to a government program that provides financial assistance to individuals, particularly the elderly, disabled, or unemployed, to ensure a minimum standard of living.
Individuals who earn income through employment or self-employment are generally required to file social security taxes.
To fill out social security forms, individuals need to provide personal information, including Social Security Number, income details, and employment history, often using IRS Form 1040.
The purpose of social security is to provide financial support and stability to individuals in need, particularly during retirement or periods of disability.
Reported information typically includes earnings for the year, Social Security Number, and personal identification details, as well as tax withheld.
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