SSA-827 - Electronic Versions (EDCS and eAuthorization)

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⚠️ Notice: This form may be outdated.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]

Download: pdf | pdf

First Party:

Third Party (with claimant present):

Third Party (without claimant present):