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Get SSA-8011-F3 2007

Or the individual's representative has given permission to us to obtain this information. You do not have to give us this information but if you do not, it may adversely affect the individual's eligibility for or amount of SSI. The information collected on this form may be disclosed without your consent (1) to comply with a Federal law requiring the release of information from our records, or (2) to an agency needing this information to decide if the individual(s) named is (are) eligible for a h.

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