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Si usted recibe cobertura del plan de salud grupal a través de otra persona, como un cónyuge o miembro de la familia, escriba su número de Seguro Social. ¿Qué información debo proporcionar para cada empleador?Carta(s) de verificación de beneficios del año actual para cualquier ingreso de Seguro. Social. Trabajador social: Teléfono: Fecha: Devuelva antes del: Nombre del empleador: Nombre del empleado: Dirección del empleador: Número de seguro social: Ciudad:. Una carta de empleo puede ser usada únicamente para documentar ingresos de un trabajo, a menudo referido como "ingreso ganado". En el Empleo Relacionadas a Inmigración. 855-805-4325 para pedir el formulario AH3, u obténgalo en alguna oficina del DSS. Una vez que haya cargado toda la información identificada en la pantalla de arriba y presione "Enviar", no podrá regresar y agregar más documentos. Tarjeta del número de Seguro Social para poder recibir beneficios).