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Get SSA-1695-F3 2010

Re representing the claimant(s) as a partner or employee of a firm or other business entity, you may provide the EIN of that entity. This will allow SSA to issue a Form 1099-MISC to that entity to reflect that the direct payment of authorized fees you receive is actually income to that entity for tax purposes. Information About Other Claimants - If you are representing other claimants in this claim that are not mentioned above, please provide their SSNs and names. If there are more than five ind.

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