Proposed Revision to eSignature Language Needed to Include the SSA-632 in Upload Documents (eSubmit)

Upload Documents (eSubmit)

Proposed Revision to eSignature Language Needed to Include the SSA-632 in Upload Documents (eSubmit)

OMB: 0960-0830

Document [pdf]
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Upload Document eSignature adjustment
6/15/2023
As noted in our Supporting Statement response, SSA’s General Council requires changes to the
eSignature language to accommodate situations where a user would be required to sign in
multiple locations on the same form (e.g. SSA-632).
Updated eSignature Page

Original Version
I reviewed the document name(s) listed above and confirmed that I uploaded the document
version(s) I intend to sign. By checking this box, I am certifying that I am the authenticated
person named above and I am applying my electronic signature to the uploaded document(s)
listed above. I agree that my electronic signature has the same meaning, legal effect, and validity
as my handwritten signature.
Proposed revision
I reviewed the document name(s) listed above and confirmed that I uploaded the document
version(s) I intend to sign. By checking this box, I am certifying that I am the authenticated
person named above and I am applying my electronic signature to each signature field in the
uploaded document(s) listed above. I agree that my electronic signature has the same meaning,
legal effect, and validity as my handwritten signature.


File Typeapplication/pdf
AuthorSantos, Fatima
File Modified2023-06-16
File Created2023-06-16

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