e827 - Internet Version (eAuthorization)

Authorization to Disclose Information to the Social Security Administration

827 iClaim Screens

e827 - Internet Version (eAuthorization)

OMB: 0960-0623

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SSA-827 – iClaim Screen Shots
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AuthorCritcher, Rose
File Modified2017-03-30
File Created2017-03-22
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