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Get SSA-3373 (Formerly SSA-3373-BK) 2020-2024

IS FORM IF YOU NEED HELP If you need help with this form, complete as much of it as you can and call the phone number provided on the letter sent with the form, or contact the person who asked you to complete the form. If you need the address or phone number for the office that provided the form, you can get it by calling Social Security at 1-800-772-1213. The information that you give us on this form will be used by the office that makes the disability decision on your disability claim. You ca.

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