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PROOF OF PERMANENT & TOTAL DISABILITY FOR EXTENDED DEATH BENEFIT (3C) PART A. TO BE COMPLETED BY CLAIMANTS BENEFICIARY DECEASED NAME (Last, First, Middle Initial) DECEASED SOCIAL SECURITY NO.: ADDRESS
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Proof of permanent ampamp is a document used to verify a person's status of permanent ampamp.
Individuals who have permanent ampamp status are required to file proof of permanent ampamp.
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