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Form Ssa 1610 U2 Ss Public Assistance Agency Information Request and Report

Form Ssa 1610 U2 Ss Public Assistance Agency Information Request and Report

Use a Form Ssa 1610 U2 Ss Public Assistance Agency Information Request And Report template to make your document workflow more streamlined.

Fol'lowed in completing the form. ltem 1: Give the indicated information about the wage earner on whose Social Security record the public assistance claimant is or may be entitled to benefits. If the Social Security number is not known show "UNK" in block (e) and attach a completed Form SS-5. information will be put (i.e., eligibility determination, fraud investigation, quality assurance, etc.) and the date for which the information is requested. Item 2: Show the mailing address of the...
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