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    Michael Van Essen
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    Social security website: www.ssa.gov provides the potential claimant with all the information and guidance to begin the on-line application.

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    Social security website: www.ssa.gov provides the potential claimant with all the information and guidance to begin the on-line application.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    12 views1 page

    05 Information and Documentation

    Uploaded by

    Michael Van Essen
    Social security website: www.ssa.gov provides the potential claimant with all the information and guidance to begin the on-line application.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    FACT SHEET 5

    GATHERING NECESSARY
    INFORMATION & DOCUMENTATION

    FILLING OUT THE WORKSHEETS AND THE ADULT DISABILITY REPORT


    The Social Security Website: www.ssa.gov provides the potential claimant with all the
    information and guidance to begin the on-line application.

    1. GO TO THE WEBSITE, PRINT AND 2. USE THE CHECKLIST TO COLLECT


    READ THE FACT SHEETS FIRST! ALL INFO & DOCUMENTATION

    PRINT AND COMPLETELY FILL OUT THE MEDICAL AND WORK HISTORY FORMS

    For further information go to www.db101.org or call


    Pacific Clinics Benefits Establishment @
    626-254-5000

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