SSA-827 (with electronic signature(adult first person only)

Authorization to Disclose Information to the Social Security Administration

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0623 can be found here:

Document [pdf]

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EDCS Blank

1

EDCS - Yes Option

2

EDCS – Yes In Office

3

EDCS - No Option

4

EDCS - Decline

5

EDCS - Decline Options

6

File Type	application/pdf
File Title	Microsoft Word - eAuthorization EDCS screen shots 062011.docx
Author	177717
File Modified	2011-06-17
File Created	2011-06-17