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Get Ssa 3379 2022-2024

Rt IF YOU NEED HELP COMPLETING ANY PART OF THIS FORM, CONTACT YOUR SOCIAL SECURITY OFFICE. WE WILL HELP YOU. The information that you give us on this form will be used by the office that makes the disability decision on the child's claim. You can help them by completing as much of the form as you can. Print or type. Do not ask a doctor or hospital to complete this form. Be sure to explain your answer if an explanation is requested or needed. If more space is needed to answer any.

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