Image: Form SSA-2795 in 1978
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Description: A filled-out Form SSA-2795 from 1978. Titled the Determination of Resumption of Award, it was the central internal form used by Benefit Authorizers in the U.S. Social Security Administration to process changes of entitlement to Social Security benefits.
Title: Form SSA-2795 in 1978
Credit: scan of physical document; two fields whited out
Author: Jonathan Schilling
Usage Terms: Public domain
License: Public domain
Attribution Required?: No
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