SSA-827 (with electronic signature(adult first person only)

Authorization to Disclose Information to the Social Security Administration

eAuthorization final EDCS screenshots for OMB)

SSA-827 (with electronic signature(adult first person only)

OMB: 0960-0623

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EDCS Screenshots for eAuthorization (SSA-827)
EDCS Summary table:

Figure 1

eAuthorization ‘Not yet answered’ response screen:

Figure 2

eAuthorization Yes response screen:

Figure 3

eAuthorization No response screen:

Figure 4


File Typeapplication/pdf
AuthorManisha Mehta
File Modified2012-09-25
File Created2012-09-25

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