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REQUEST FOR RECONSIDERATION - Form SSA-561-U2

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REQUEST FOR RECONSIDERATION - Form SSA-561-U2

FIRST APPEAL: This request is made by completing the SSA-561-U2, ... These forms are the SSA-3441-F6 Disability Report-Appeal, and SSA-827 , Authorization to Disclose Information to SSA. If you have further questions about filing for reconsideration call 1-800-772-1213 ...

http://www.reginfo.gov/public/do/DownloadDocument?documentID=175447&version=1

Date added: November 8, 2012 - Views: 38

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Getting Started: Timeline for Completing an Initial SOAR SSI ...

SSA-827: Authorization to Disclose Information to SSA. SSA-1696: Appointment of Representative. SSA-3368: Disability Report (submit on-line i3368 when possible) SSA-8000: Application for Supplemental Security Income (SSI) SSA-16: Application for Social Security Disability Insurance (SSDI) ...

http://www.prainc.com/soar/cms-assets/documents/ApplicationTimeline012413.doc

Date added: May 5, 2013 - Views: 9

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Social Security Administration (SSA) and - prainc.com

SSA 827 Authorization to Disclose Information to SSA (printed, signed and witnessed) 2 SAMHSA SOAR Technical Assistance Center January 2012. Title: Social Security Administration (SSA) and Author: 603380 Last modified by: ssodergren Created Date:

http://www.prainc.com/soar/cms-assets/documents/TipsForPendingAppsAndAppeals_01_2012.doc

Date added: September 12, 2013 - Views: 4

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Social Security Administration (SSA) and - Clark County ...

Submission of the Internet Social Security Claim (iClaim), ... SSA 827 Authorization to Disclose Information to SSA. SSA-3369 Work History Report. ... Social Security Administration (SSA) and Last modified by: Kate Budd Company:

http://www.clark.wa.gov/community-action/documents/soar/SOAR_SSA_Process_WA_revised4_ymp__8%2015%2011%20%20updated%206%205%2012.docx

Date added: December 4, 2012 - Views: 25

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... Document Retrieval - The United States Social Security ...

The Social Security Administration (SSA) has made changes to the disability process used to decide whether claimants are disabled under the law. ... SSA-827 (Authorization to Release Medical Information); and, if applicable;

http://www.ssa.gov/disability/Documents/Prototype_Operating_Instructions.doc

Date added: October 2, 2011 - Views: 85

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www.benefits.va.gov

3 Return the photocopy of the cover letter to the SSA office that requested the medical evidence. 4 Forward Form SSA-827 and the original cover letter to the VA Insurance Center.

http://www.benefits.va.gov/WARMS/docs/admin21/m21_1/mr/part3/subptiii/ch03/M21-1MRIII_iii_3_SecB.doc

Date added: July 2, 2014 - Views: 1

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E080-0620, Supplemental Security Income (SSI) Social Security ...

SOCIAL SECURITY ADMINISTRATION BENEFITS (SSA) Date Issued: 03/27/14. New Policy Release. Revision of Existing Procedural Guide E080-0620, Supplemental Security Income ... (SSA-827 & SSA-3441). Send an e-mail notification of the denial and appeal process to the CSW/SCSW.

http://dcfs.lacounty.gov/Policy/Hndbook%20FCE/E080/E080-0620SupplmntlSectyIncome.doc

Date added: April 22, 2014 - Views: 10

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Table of Contents Chapter 3, Information Requests to and From ...

Information Requests to and From the Social Security Administration (SSA) Table of Contents. Section A: ... Form SSA-827 3-B-6. 12. General Information About SSA Requests for the Amount of VA Benefits a. Supplemental Security Income (SSI) Claimant Receives 3-B-10.

http://www.benefits.va.gov/WARMS/docs/admin21/m21_1/mr/part3/subptiii/ch03/M21-1MRIII_iii_3_TOC.doc

Date added: July 7, 2014 - Views: 1

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E080-0620, Supplemental Security Income (SSI) Social Security ...

SOCIAL SECURITY ADMINISTRATION BENEFITS (SSA) Date Issued: 03 ... SSA 827 (8 originals attached to instruction on how to fill out the SSA 827 for adult’s signature) Child – SSA 454, SSA 3375, SSA 3376, SSA 3377, SSA 3378, SSA 3379 and based on ... Receipt of Social Security Survivor (SSA) ...

http://dcfs.lacounty.gov/Policy/Hndbook%20FCE/E080/E0800620SSISSAv0311.doc

Date added: February 7, 2012 - Views: 56

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Supplemental Security Income (SSI) Social Security ...

SSA 827 (8 originals) SSA 8000. SSA 11BK. SSP 22 (Include caregiver’s license # obtained from CWS/CMS) SSI/SSA EW. Reimbursement Letter. h) SS5 for children with no Social Security card. Copies of Birth verification, Social Security card,

http://dcfs.co.la.ca.us/Policy/Hndbook%20FCE/E080/E0800620V906.doc

Date added: January 28, 2012 - Views: 60

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Supplemental Security Income and Age 18 Redeterminations

What is the Age-18 Redetermination? Passage of the Personal Responsibility and Work Opportunity Reconciliation ... Adult Form Number SSA-827 - Authorization for Source to Release Information to the Social Security Administration] 7 . Title: Supplemental Security Income and Age 18 ...

http://www.vcu-ntc.org/resources/WIPA_OtherResources/SSI%20and%20Age%2018%20Redetrmination%202012%2Edoc

Date added: February 28, 2014 - Views: 3

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SSA FORMS

... SSA 3820 BK 8 SSA 16-BK Application for Disability Insurance Benefits 9 SSA 8000-BK (also known as SSA 8001-BK) (formerly 8001-FS) Application for ... (Employee) - 8 pages 35 SSA-827 Authorization to Disclose Information to SSA 36 SSA 1199A Direct Deposit Sign-Up Form (SF-1199A ...

http://www.formsinword.net/Word%20Files/SSA%20FORMS.doc

Date added: August 31, 2011 - Views: 76

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Idaho’s SOAR Process - Idaho Department of Health and Welfare

SSA-827 (Authorization to Disclose Information to SSA) SSA-821 (Work Activity Report ... Getting the SOAR Packet to SSA: SSA recommends that SOAR CM mail in the packet to them once all the information is compiled and once they get the i3368, ...

http://www.healthandwelfare.idaho.gov/Portals/0/Medical/SUD/RAC%20Region%203/Idaho%20SOAR%20PROCESS%20final(3).doc

Date added: July 4, 2012 - Views: 5

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www.alz.org

Medical Release Form (SSA-827) (attach link to SSA) Adult disability report (attach link to SSA or document) Medical and Job Worksheet – optional but very helpful for interview (attach link to SSA or document) Original or certified copy of your birth certificate .

http://www.alz.org/oklahoma/documents/ssa_final_checklist.doc

Date added: January 23, 2014 - Views: 1

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WORK PRODUCT REPORT - Social Security Administration

This document is available from the Social Security Administration’s Deputy Commissioner for Budget, Finance, and Management/Office of Systems Security Operations Management ... Phone: 505-827-0389. Address: 1105 St. Francis Dr. Sante Fe, NM 87502.

http://www.ssa.gov/dataexchange/documents/edr_csm.doc

Date added: February 8, 2014 - Views: 24

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TO:

In January 2008, I was asked to represent NADE on a net conference call with all DDS’ and SSA’s Central Office. ... was asked by our NADE President to prepare comments for the NADE Board concerning the possible elimination of the SSA-827 being sent out with DDS medical requests.

http://www.nade.org/2008_Conference_Reports/PRO%20NADE%20Ad%20Hoc%20End-Year%20Report%209-2-08.doc

Date added: September 16, 2014 - Views: 1

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Social Security Administration - University of Missouri

The Benefits Planning Query (BPQY) has improved the Social Security Administration’s (SSA) efforts to inform Social Security ... YEAR EARNINGS YEAR EARNINGS 1997 $ 617.91 1998 $ 827.65 1999 $ 872.46 2000 $ 722.58 2001 $1,813.50 2002 $3,215.55 2003 $3,027.95 2004 $3,843.10 2005 $ ...

http://dps.missouri.edu/resources/ssawork/resources/BPQYHndbk2009.doc

Date added: July 3, 2013 - Views: 11

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www.altsa.dshs.wa.gov

Social Security Administration Authorization form # SSA-827. The Social Security Administration has created a brand new, HIPAA compliant authorization for release form.

http://www.altsa.dshs.wa.gov/professional/MB/mb2003/consent-auth%20MB%20-%20HIPAA%2004-03.doc

Date added: November 25, 2013 - Views: 2

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EXECUTIVE MEMO #1

On the proposed elimination of the SSA 827’s, Susan Payne reported that this issue is still under discussion with the House Ways and Means Committee along with the Senate Finance Committee, and that they expect to introduce Legislation on this sometime next Legislative session.

http://nade.org/Executive_Memo_8a_GBH.doc

Date added: November 5, 2011 - Views: 4

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EMPLOYER’S GUIDE - Social Security Administration

SOCIAL SECURITY ADMINISTRATION. Office of Income Security Programs. SSA Pub. No. 16-004. ICN 361752. ... contact SBA at 1-800-827-5722 or, via the Internet at: ... You may obtain Form SSA-131 from any Social Security office or from the SSA web page. THIRD PARTY PAYERS OF SICK PAY.

http://www.socialsecurity.gov/employer/Guide501.doc

Date added: October 13, 2011 - Views: 48

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Module 5 -- Insuring the Provision of High Quality WIPA Services

Authorization to Disclose Information to the SSA - Form SSA-827 (6-2007) Effective (06-2007) -- http://www.ssa.gov/online/ssa-827.pdf Consent for Release of Information - Form SSA-3288 (5-2007) Effective (5-2007) -- http://www.ssa.gov/online/ssa-3288.pdf.

http://www.vcu-ntc.org/documents/module5.doc

Date added: September 6, 2012 - Views: 13

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Social Security Administration - Clearwater Council of Govts

Benefits Planning Query Handbook ... The Benefits Planning Query (BPQY) has improved the Social Security Administration’s (SSA) efforts to ... RECENT EARNINGS RECORD YEAR AR EARNINGS G YEAR AR EARNINGSGS 1997 $ 617.91 1998 $ 827.65 1999 $ 872.46 2000 $ 722.58 2001 $1,813 .50 2002 $3,215 ...

http://www.clearwatercog.org/pdf/forms/old/Benefit%20Planning%20Query%20Handbook.doc

Date added: July 14, 2013 - Views: 20

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Post Call Questions and Answers

Kristen Alberino, the Metropolitan Public Affairs Specialist, Social Security Administration Office in Quincy, MA was the presenter. Participants had some additional questions after the call. The questions, and Kristen’s answers, are below.

http://www.massfamilyvoices.org/Post-Call%20Q%20and%20A.doc

Date added: June 1, 2012 - Views: 4

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Re: - Washington Medical-Legal Partnership

When writing a letter, it is generally useful to cite from the Social Security Administration (SSA) bluebook for the specific medical conditions. The Blue Book is available at: ... Patient S is sending under separate cover Form SSA 827.

http://www.washingtonmlp.org/showdocument.cfm?doctype=DOC&ichannelprofileid=49600&ichanneldocid=44378

Date added: July 3, 2013 - Views: 4

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www.clark.wa.gov

Many DOC’s require SSA- 827(Authorization for release) and SSA-3288 (Consent for Release . of Information) which must be completed. If the applicant was referred by DSHS, typically you should be able to obtain the welfare file, ie) ...

http://www.clark.wa.gov/community-action/documents/soar/SOAR%20Training%208.12%20ParkingLotQ.docx

Date added: August 13, 2013 - Views: 3

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SSA NHIN Interoperability Guide - Standards ...

Social Security Administration. Nationwide Health. Information Network. Interoperability Guide. Table of Contents. SSA . NHIN INTEROPERABILITY GUIDE. i. 19. February 22, 2010. Version 1.1. ... Within SSA, the authorization document is known as Form SSA-827: ...

http://wiki.siframework.org/file/view/SSA_NHIN_Interoperability_Guide_V_1_1.docx

Date added: September 24, 2013 - Views: 2

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Index to SSA Handbook

For the years after 1977, the Commissioner of the Social Security Administration determines the amount of earnings that will equal a credit for each year.

http://www.claitors.com/cfrupload/SSA-HandBook/SSA-Handbook1.docx

Date added: September 5, 2014 - Views: 1

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www.mitoaction.org

When you are applying for disability benefits the first thing you will need to do is begin your application online (www.ssa.gov) ... the Adult Disability Report and Authorization to Disclose Information to the SSA (SSA Form-827).

http://www.mitoaction.org/files/SSD_Application_Process.docx

Date added: May 22, 2013 - Views: 5

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CWIC Initial Training Program Description - Syntiro - Home

Individuals will be provided with an extensive CWIC Training Manual and reference ... SSA is committed to ensuring that CWICs and other WIPA staff who will be providing direct services to beneficiaries are prioritized for ... Julie can be reached by phone at 804.827.0741 or by email at ...

http://www.syntiro.org/hrtw/hrtwu/calls/docs/07-15-09-CWIC-Initial-Training-Program-Description-Registration-Info.doc

Date added: May 29, 2012 - Views: 3

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ibew827.com

IBEW Local 827 Headquarters 1-609-443-4100; 1-609-448-5110 (fax) 1-609-448-0827 (info tape) www.ibew827.com. Paula M. Small: Health Care ... Social Security Administration. Payroll (former employee/telecom) United Healthcare (pre 12/31/99 retiree)

http://ibew827.com/sites/local827d6.prometheuslabor.com/files/retiree_important_contact_s_march_2014.docx

Date added: April 3, 2014 - Views: 2

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VCU WIPA National Training Center - Syntiro

Phone: 804-827-0741. Email: [email protected] Technical Assistance Liaisons. Northeast Region SSA Region 1: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont, SSA Region 3: ... VCU WIPA National Training Center ...

http://www.syntiro.org/hrtw/hrtwu/calls/docs/07-15-09-VCU-WIPA-National-Training-Center-Contact-Info.doc

Date added: June 1, 2013 - Views: 4

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FSHOP 55-14

Social Security Administration Consent for Release of Information (Form SSA-3288) SUMMARY OF REVISED, ADDED OR DELETED MATERIAL. ... (SSA) (Form SSA-827) (c) Copy of Medical Information: Face Sheet (Form 2006) Addendum to Face Sheet (Form 6)

http://www.dcf.state.fl.us/facilities/fsh/FSHOPS/55-14.doc

Date added: October 2, 2012 - Views: 6

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www.altsa.dshs.wa.gov

Form SSA-827 (with original signatures) for any new medical sources; and. A current assessment, if appropriate. Healthcare for Workers with Disabilities (HWD) Program.

http://www.altsa.dshs.wa.gov/Professional/LTCManual/CORE%20LTC%20Programs%20Chapter.doc

Date added: June 2, 2013 - Views: 9

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UCR Letterhead UE Dept - University of California, Riverside

951.827.7750 • Fax 951.827.7745 • www.ue.ucr.edu. Tel. 951.827.7750 • Fax 951.827.7745 • www.ue.ucr.edu. REQUEST FOR PROPOSALS. UCR . Faculty-L. ed Summer Study Abroad Programs, Summer. 2015. The Office of ...

http://summerstudyabroad.ucr.edu/rfp_ssa_2014_15_final.docx

Date added: May 31, 2014 - Views: 1

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1996 - 1998 FORUM ARTICLES INDEX - NOSSCR

Electronic SSA-827 Form Starts on Limited Basis Apr/7/12. Update: Requirement to File Appeals Online May/1/12. New POMS on Electronic Filing Mandate ... Social Security Administration's Disability Programs: Evaluation . Report (July 2013) ...

http://nosscr.org/sites/default/files/articles%20index%202010-2013_new.doc

Date added: March 25, 2014 - Views: 8

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Chapter Title Here - Cornell University

The Social Security Administration’s. Benefits Planning Query (BPQY) Handbook. For. Beneficiaries and Counselors. Version 1.08. Revised July 19, 2007. ... 1997 $617.91 1998 $827.65 10/03-12/03 $305.41 (V) 01/04- 03/04 $282.27 (V) 1999 $872 ...

http://www.edi.cornell.edu/publications/BPQY_Handbook_v108_7-19-07.doc

Date added: April 30, 2014 - Views: 13

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Manhattan CE RFP 2003 Draft

I. MER Request Form/Social Security Administration (SSA) Release p. I1. J. Status and Result Reason Codes and Field Request p. J1. Data Exchange Requirements. K. Technical Evaluation Form p. K1. L. OTDA Non-Disclosure Agreement p. L1.

http://otda.ny.gov/contracts/2012/MER/Field-Source-MER-RFP.doc

Date added: August 24, 2014 - Views: 1

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2000 SAILPLANE HANDICAPS - Sorted by Manufacturer and Model

(published April 2000) This table shows the Soaring Society of America's sailplane handicaps, for use in SSA-sanctioned Sports Class competitions.

http://www.ssa.org/Docs/CH2000Mfg.doc

Date added: November 14, 2011 - Views: 12

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Application and Order - Santa Clara County, California

Confidential in accordance with Penal Code Section 11167.5 and/or WIC Sections 827 and 10850. Ex Parte Application . And Order. 05/22/2006

http://www.sccgov.org/ssa/opp2/13_xp/documents/app_order_travelabroad_000.doc

Date added: December 10, 2013 - Views: 14

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Early Intervention Year Two Report - What's New from DRI ...

The Social Security Administration (SSA) is planning to conduct an “early intervention” (EI) ... With each request is sent a signed release form (SSA 827) from the claimant, authorizing the source to release the information to DDS.

http://www.dri.illinois.edu/research/p02-07h/final_report_p02-07h.doc

Date added: September 30, 2012 - Views: 19

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Family History:

The information contained in this document is confidential under Welfare and Institutions Code § 827. It is intended solely for the use of DFCS and foster youth transitional housing programs that assist current or former DFCS youth.

http://www.sccgov.org/ssa/dfcsforms/scz209.doc

Date added: August 2, 2013 - Views: 1

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Assistant Secretary for Housing-Federal Housing Commisioners

Form HUD-92900-A has been modified, at the request of SSA, ... (888-827-5605). Sincerely, Assistant Secretary for Housing-Federal Housing Commissioner. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT. WASHINGTON, DC 20410-8000. ASSISTANT SECRETARY FOR HOUSING-

http://portal.hud.gov/hudportal/documents/huddoc?id=DOC_35972.doc

Date added: March 13, 2013 - Views: 4

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AVAILABLE BENEFITS AND ENTITLEMENT - Fort Lee

Call 1-800-827-1000 or visit: ... Burial Allowance Payable by Social Security Administration. Eligibility determined by the SSA. Not paid for death of a child. _____ Burial in a National or Post Cemetery. Spouse and ...

http://www.lee.army.mil/hrd/documents/AVAILABLE%20BENEFITS%20AND%20ENTITLEMENT.doc

Date added: October 19, 2012 - Views: 10

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Assistant Secretary for Housing-Federal Housing Commisioners

FHA’s edits will validate the prefix combination of the SSN using information provided by the Social Security Administration ... or Santa Ana (888) 827-5605. Sincerely, John C. Weicher. Assistant Secretary for Housing-Federal Housing Commissioner. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT.

http://www.hud.gov/offices/adm/hudclips/letters/mortgagee/files/04-17ml.doc

Date added: June 22, 2012 - Views: 2

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MEMORANDUM OF UNDERSTANDING - Orange County, California

SSA shall have the following responsibilities in order to implement the Family Unification Program with SAHA: ... the State of California Welfare and Institutions Code Sections 827 and 10850-10853, the CDSS Manual of Policies and Procedures, Division 19-000, and all other provisions of law, ...

http://cams.ocgov.com/Web_Publisher_Sam/Agenda10_20_2009_files/images/O00509-001339A.DOC

Date added: December 2, 2011 - Views: 9

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Chapter 6

The Social Security Administration (SSA) ... is included in this chapter, starting on page 7-6. ... 1-800-827-4843 23077 Greenfield Ste 205 Southfield MI 48075 Counties served: Oakland and Macomb. 6. Goodwill Industries .

http://michigan.gov/documents/Chapter_7_Federal_Benefits_60161_7.doc

Date added: May 9, 2013 - Views: 8

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ACKNOWLEDGEMENTS

You can also order your card in person at a local SSA office. You will need to bring a copy of your birth certificate and a govt-issued picture id. No fee will be charged. PICTURE ID. ... VA benefits – 1-800-827-1000.

http://www.coordinatingcenter.org/wp-content/uploads/REQUIRED-DOCUMENTATION-FOR-HOUSINGyellow.doc

Date added: February 22, 2014 - Views: 1

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Ready Reference Contact Information - Post 237

Social Security Administration (800) 772-1213 . www.ssa.gov . TRICARE for Life (866) 773-0404 . TRICARE Prime Remote (888) 363-2273 . TRICARE Overseas (888) 777-8343 . TRICARE Standard ... (800) 827-1000 (Benefits and Assistance) TDD: (800) 829-4833 . www.va.gov.

http://post237.org/user/Ready%20Ref%20Contact%20INFO.doc

Date added: May 6, 2014 - Views: 1

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ALABAMA

SSA List ALABAMA. J. Kent Hunt. Associate Commissioner for Substance Abuse Services. ... 827-2601. F: (505) 827-0097. E-mail: [email protected] cc: [email protected] NEW JERSEY. Raquel Mazon Jeffers, Director. NJ Department of Human Services.

http://casat.unr.edu/docs/8c_ssalistdraftv3.doc

Date added: January 1, 2014 - Views: 3

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MEMORANDUM OF UNDERSTANDING - Orange County, California

SSA will refer dependent children to Canyon Acres for Creating Family Connections Services. ... the State of California Welfare and Institutions Code Sections 827 and 10850-10853, the CDSS Manual of Policies and Procedures, Division 19-000, and all other provisions of law, ...

http://cams.ocgov.com/Web_Publisher_Sam/Agenda02_03_2009_files/images/O00309-000036A.DOC

Date added: May 23, 2013 - Views: 3