Form SSA-16 Application for Disability Insurance Benefits

Social Security Benefits Application

SSA-16 (Revised Version)

Paper Form SSA-16 (Application for Disability Insurance Benefits)

OMB: 0960-0618

Document [pdf]
Download: pdf | pdf
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File Typeapplication/pdf
File TitleMicrosoft Word - Revised SSA-16 clean version
AuthorLi, Nancy
File Modified2025-02-25
File Created2025-01-13

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