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Get and Sign Function Report Child Age 1 to 3rd Birthday Use This Form to Complete a Function Report for a Child Age 1 to Their 3rd Birthday

Get and Sign Social Security Function Child Form

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Requirements of 44 U.S.C. Form SSA-3376-BK 10-2017 UF Discontinue Prior Editions Social Security Administration Page 1 of 9 OMB No. 0960-0542 Function Report - Child Age 1 to 3rd Birthday Filling Out The Function Report IF YOU NEED HELP COMPLETING ANY PART OF THIS FORM CONTACT YOUR SOCIAL SECURITY OFFICE. WE WILL HELP YOU. You may send comments on our time estimate above to SSA 6401 Security Boulevard Baltimore MD 21235-6401. To facilitate statistical research audit and investigatory activities...
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