Statement of Claimant or Other Person (Paper /in-office interview)

Statement of Claimant or Other Person

SSA-795 screen package (revised)

Statement of Claimant or Other Person (Paper /in-office interview)

OMB: 0960-0045

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Consolidated Claims Experience (CCE) Web-based electronic version of the SSA-795

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CCE will eventually replace other claims screens or other forms. Therefore, the electronic SSA-795 provides an option to select other Social Security programs i.e. T2 besides SSI i.e. T16.

The new web-based CCE platform will house an electronic version of the SSA-795, which allows the SSA technician to record the individual’s statement and obtain a signature using either the attestation procedure or wet signature. Once filled out, the system will save the electronic version as part of the claim.





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHarley, Tasha
File Modified0000-00-00
File Created2021-11-03

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