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Get Form SSA-821-BK 2012

U because we need to know more about your work. Please tell us about your work since . We will use this information to decide if you can receive or continue to receive disability benefits. What You Need To Do Please complete and return the completed form within 15 days to the address shown above. It is important to fill out the form carefully and completely. Remember to sign and date the form. If you do not return this form, we may contact your employer or make our determination based on the evi.

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