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Get SSA-3368-BK 2012

Re asking when you became disabled as defined by the Social Security Act. Privacy Act Statement Collection and Use of Personal Information Section 205(a), 223(d), and 1631(e)(1) of the Social Security Act, as amended, authorize us to collect this information. We will use the information you provide to make a decision on the named claimant’s claim. Furnishing us this information is voluntary. However, failing to provide us with all or part of the information could prevent us from making an accu.

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