SSA-827 (with electronic signature(adult first person only)
Authorization to Disclose Information to the Social Security Administration
eAuthorization final i3341 screens 022012 Finals
SSA-827 (with electronic signature(adult first person only)
OMB: 0960-0623
                        ⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0623 can be found here:
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| File Type | application/pdf | 
| Author | 365613 | 
| File Modified | 2012-02-02 | 
| File Created | 2012-02-02 |