The releasor authorizes his/her employer to release employment references including, but limited to, his/her employment history and wages and any information which may be requested relative to his/her employment, employment applications, and other related matters, and to furnish copies of any and all records which the employer may have regarding his/her employment.
Please complete these fields in case we need to contact you about the consent form). TO: Social Security Administration.Make a FOIA Request. Request a copy of Deceased Person's Original Application for a Social Security Card (SS-5) or Numident Record. Call SSA's toll-free number, 1-, between 7am and 7pm, Monday through Friday. If busy, you can leave a message and Social Security will return. Our field offices generally offer the full range of Social Security services, including applying for new or replacement Social Security cards. Fill out, sign, and date VA Form 1010164 (Opt Out of Sharing Protected Health Information). Mail the signed, completed form to our ROI office. What must you submit to the Social Security Office In order to continue your SSI check for 3 months?