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Get SSA HA-1152-U3 2006-2021

================================================================== NAME OF INDIVIDUAL SOCIAL SECURITY NUMBER INSTRUCTIONS: Please assist us in determining this individual’s ability to do work-related activities on a sustained basis. “Sustained basis” means the ability to perform work-related activities eight hours a day for five days a week, or an equivalent work schedule. (SSR 96-8p). Please give us your professional opinion of what the individual can still do despite his/her impairmen.

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