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CMS-40B, Application for Enrollment in Medicare - Part B (Medical Insurance)

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CMS-40B Application for Enrollment in Medicare - Part B (Medical Insurance) (spanish-español)

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SSA-3, Marriage Certification

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CMS-L564 Request for Employment Information

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CMS-L564 Request for Employment Information (Spanish-Español)

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I-129 Petition for a Nonimmigrant Worker

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HA-4633 Claimant's Work Background

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HA-4632 Claimant's Medications

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HA-4631 Claimant's Recent Medical Treatment

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HA-4608 Waiver of Your Right to Personal Appearance Before an Administrative Law Judge

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HA-539 Notice Regarding Substitution of Party Upon Death of Claimant

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HA-520 Request for Review of Decision or Order of Administrative Law Judge

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HA-501-U5 Request for Hearing by Administrative Law Judge

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SSA-131 Employer Report of Special Wage Payments

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SSA-150 Modified Benefits Formula Questionnaire

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SSA-199 Vocational Rehabilitation Provider Claim

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SSA-1026B-OCR-SM-INST Review of your Eligibility for Extra Help

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SSA-1026B-OCR-SM-INST-SP Revisión sobre su derecho a recibir el Beneficio Adicional (Spanish-Español)

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SSA-1372-BK Advanced Notice of Termination of Child's Benefits

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SSA-1372-BK-FC Advanced Notice of Termination of Child's Benefits (Foreign Claims)

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SSA-1383 Student Reporting Form

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SSA-1560-U4 Petition to Obtain Approval of a Fee For Representing a Claimant Before the Social Security Administration

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SSA-1694 Request for Business Entity Taxpayer Information

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SSA-1695-F3 Identifying Information for Possible Direct Payment of Authorized Fees

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SSA-1696-U4 Appointment of Representative

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SSA-1699 Registration for Appointed Representative Services and Direct Payment

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SSA-1724-F4 Claim for Amounts due in case of a Deceased Beneficiary

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SSA-1945 Statement Concerning Your Employment in a Job Not Covered by Social Security

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SSA-2000-F6 Application for Special Benefits for World War II Veterans

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SSA-2032-BK Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate

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Related: Social Security, Health, Medicare

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SSA-2512 Pre-1957 Military Service Federal Benefit Questionnaire

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SSA-2519 Child Relationship Statement

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SSA-3033 Employee Work Activity Questionnaire

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SSA-3105 Important information about your appeal waiver rights and repayment options

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SSA-3288 Consent for Release of Information

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SSA-3288-SP Consentimiento para divulgar información (Spanish-Español)

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SSA-3368-BK Disability Report - Adult

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SSA-3369-BK Work History Report

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SSA-3373-BK Function Report - Adult

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SSA-3375-BK Function Report - Child Birth to 1st Birthday

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SSA-3441-BK Disability Report - Appeal

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SSA-3820-BK Disability Report - Child

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SSA-3881-BK Questionnaire for Children Claiming SSI Benefits

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SSA-3885 Government Pension Questionnaire

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SSA-4111 Certification of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits

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SSA-4162 Child Care Dropout Questionnaire

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SSA-5665-BK Teacher Questionnaire

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SSA-5666 Request for Administrative Information

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SSA-7008 Request for Correction of Earnings Record

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SSA-7050-F4 Request for Social Security Earnings Information

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SSA-7156 Farm Self Employment Questionnaire

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SSA-7157-F4 Farm Arrangement Questionnaire

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SSA-7163 Questionnaire about Employment or Self Employment

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SSA-7163A-F4 Supplemental Statement Regarding Farming Activities

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SSA-L706-F3 Letter to Custodian of Birth Records

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SSA-89 Authorization for the Social Security Administration To Release Social Security Number (SSN) Verification

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SSA-89-SP Autorización para que la Administración de Seguro Social Divulgue la Verificación de un Número de Seguro Social (SSN) (Spanish-Español)

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SSA-88 Pre-Approval Form for Consent Based Social Security Number Verification (CBSV)

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SSA-44 Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event

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SSA-25 Certification of Election for Reduced Spouse's Benefits

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SSA-24 Application for Survivors Benefits (Payable Under Title II of the Social Security Act)

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SSA-21 Supplement to Claim of Person Outside the United States

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SSA-16-INST Reporting Responsibilities For Disability Insurance Benefits

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Solicitud para beneficios de seguro por incapacidad

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SSA-16-BK Application for Disability Insurance Benefits

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SSA-10-INST Reporting Responsibilities for Widow's or Widower's Insurance Benefits

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SSA-10 Application for Widow's or Widower's Insurance Benefits

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SSA-8 Application for Lump-Sum Death Payment

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SSA-7-F6 Application for Parent's Insurance Benefits

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SSA-5-INST Reporting Responsibilities for Mother's or Father's Insurance Benefits

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SSA-5-BK Application for Mother's or Father's Insurance Benefits

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SSA-4-INST Reporting Responsibilities for Child's Insurance Benefits

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SSA-4-BK Application for Child's Insurance Benefits

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SSA-3 Marriage Certification

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Application for Wife's or Husband's Insurance Benefits

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SSA-1-BK Application for Retirement Insurance Benefits

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Related: Social Security, Health, Medicare, spanish, español

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SS-5-SP Solicitud para una tarjeta de Seguro Social (Spanish-Español)

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SS-5-FS Application for a Social Security Card (Outside of the US)

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SS-5 Application for a Social Security Card

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SSA-7104 Partnership Questionnaire

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