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Get SSA-24 2014-2024

ORTANT-- Read instructions before completing form. Detach and retain ONLY the instruction sheet 1. FIRST NAME - MIDDLE NAME - LAST NAME OF VETERAN 2. DATE OF DEATH (Type or print) NOTE: If the veteran's Social Security No. is unknown, complete Items 4, 5, 6, and 7 about veteran. 3. SOCIAL SECURITY NO. OF VETERAN 4. DATE OF BIRTH 5. PLACE OF BIRTH 6. NAME OF FATHER 7. MAIDEN NAME OF MOTHER 8. DID THE VETERAN WORK IN THE RAILROAD INDUSTRY AT ANY TIME AFTER 1936? YES NO NOTE: The following i.

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