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Form SSA3288 (022023) OF Discontinue Prior Editions Social Security Administration Page 1 of 3 OMB No. 09600566Consent for Release of Information Instructions for Using this Form Complete this form
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The SSA-3288-OP1 is a consent form used by individuals to authorize the disclosure of their personal information from the Social Security Administration (SSA) to a designated third party.
Any individual who wishes to allow the SSA to release their personal information to a third party must file the SSA-3288-OP1 consent for disclosure.
To fill out the SSA-3288-OP1, individuals need to provide their personal information, the name of the person or organization to whom the information will be disclosed, and their signature to authorize the request.
The purpose of the SSA-3288-OP1 consent for disclosure is to legally permit the SSA to share an individual's personal records with specific third parties as specified by the individual.
The SSA-3288-OP1 must include the individual's name, Social Security number, the name of the person or organization receiving the information, the types of information to be revealed, and the signature of the individual granting consent.
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