Currently Approved Version of the EDCS eAuthorization Screens

eAuthorization EDCS screen shots - Current Version.pdf

Authorization to Disclose Information to the Social Security Administration

Currently Approved Version of the EDCS eAuthorization Screens

OMB: 0960-0623

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EDCS Blank

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EDCS - Yes Option

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EDCS – Yes In Office

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EDCS - No Option

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EDCS - Decline

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EDCS - Decline Options

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File Typeapplication/pdf
File TitleMicrosoft Word - eAuthorization EDCS screen shots 062011.docx
Author177717
File Modified2012-09-25
File Created2011-06-17

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