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SSA-827: Authorization to Disclose Information to SSA. Applicant’s name, date of birth, Social Security number. An address where the applicant can receive mail (For ...

http://soarworks.prainc.com/sites/soarworks.prainc.com/files/SSA%20Forms%20Guide%208%2025%2015_0.doc

Date added: October 30, 2015 - Views: 1

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www.benefits.va.gov

4 Forward the Form SSA-827, original cover letter, and a copy of the physical examination report SSA requested to the appropriate VAMC. Note: The VAMC is responsible for.

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: 9

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Supplemental Security Income (SSI) Social Security...

SOCIAL SECURITY ADMINISTRATION BENEFITS (SSA) ... SSA 827 (8 originals attached to instruction on how to fill out SSA 827 for adult’s signature). Child – SSA 454, ...

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

Date added: January 28, 2012 - Views: 106

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SSA FORMS

Form Description 1 SSA-1695 Identifying Information for Possible Direct ... 8 pages 35 SSA-827 Authorization to Disclose Information to SSA 36 SSA 1199A ...

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

Date added: November 14, 2011 - Views: 246

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SOAR TA Center - soarworks.prainc.com

Application using the SOAR Model. ... SSA-827: Authorization to Disclose Information to SSA. Agency Release of Information. SSA-1696: Appointment of Representative.

http://soarworks.prainc.com/sites/soarworks.prainc.com/files/ApplicationTimeline040615.docx

Date added: April 11, 2015 - Views: 1

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

SUPPLEMENTAL SECURITY INCOME (SSI) SOCIAL SECURITY ADMINISTRATION ... SSA 827 (8 originals attached to instruction on how to fill out the SSA 827 for adult’s ...

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

Date added: February 7, 2012 - Views: 87

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Frequently Asked Questions about Taxes and SSA...

The individual will be asked to sign Form SSA-827 (Authorization for Source to Release Information to the Social Security Administration) for each source of information.

http://www.vcu-ntc.org/resources/WIPA_OtherResources/SSI%20%26%20the%20Age%2D18%20Redetermination%20July%202014%2Edoc

Date added: August 12, 2014 - Views: 4

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Supplemental Security Income and Age 18...

The individual will be asked to sign Form SSA-827 ... Supplemental Security Income and Age 18 Redeterminations Author: Lucy Miller Last modified by: Gail

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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I

SSA-827 (Authorization to Release Medical Information); and, if applicable; SSA-1696-U4 (Appointment of Representative). NOTE: If additional information is needed ...

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

Date added: October 2, 2011 - Views: 138

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Hearing on - c-c-d.org

One recommendation that might help to improve the response rate is to include a statement on the new Form SSA-827 that states: ...

http://www.c-c-d.org/fichiers/CCD-ERR-Talking-PointsJuly09.doc

Date added: April 3, 2015 - Views: 1

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REQUEST FOR RECONSIDERATION - Form SSA-561-U2

These forms are the SSA-3441-F6 Disability Report-Appeal, and SSA-827 , Authorization to Disclose Information to SSA. ... Social Security Administration

http://www.reginfo.gov/public/do/DownloadDocument?objectID=17544701

Date added: January 8, 2016 - Views: 1

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Table of Contents Chapter 3, Information Requests...

Information Requests to and From the Social Security Administration (SSA) Table of Contents. Section A: Department of Veterans Affairs ... Form SSA-827 3-B-6.

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: 4

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

Cancels: E080-0620, Supplemental Security Income (SSI) Social Security Administration Benefits (SSA), dated 03/08/11. DEPARTMENTAL VALUES. ... (SSA-827 & SSA-3441).

http://lacdcfs.org/Policy/Hndbook%20FCE/E080/E080-0620SupplmntlSectyIncome.doc

Date added: April 6, 2014 - Views: 31

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EMPLOYER’S GUIDE - Social Security Administration

SOCIAL SECURITY ADMINISTRATION. ... Rico-sited employers can be found in SSA’s Employer’s Guide to Filing Timely and Accurate Form 499R-2/W ... 1-800-827 -5722 or ...

http://www.ssa.gov/employer/guidewebnew.doc

Date added: August 28, 2011 - Views: 298

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Idaho’s SOAR Process

SSA-827 (Authorization to Disclose Information to SSA) SSA-821 (Work Activity Report – If client is working or has worked since the alleged onset date)

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

Date added: July 4, 2012 - Views: 27

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Factsheet - MassLegalServices

The revised SSA-827 is fully HIPAA compliant and, when properly completed and signed, permits full disclosure of all the requested information (45 CFR 164.502, ...

http://www.masslegalservices.org/system/files/library/HIPAAFactsheetPROS.doc

Date added: March 21, 2015 - Views: 12

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Re:

When writing a letter, it is generally useful to cite from the Social Security Administration (SSA) ... Patient S is sending under separate cover Form SSA 827.

http://static1.squarespace.com/static/5373b088e4b02899e91e9392/t/53a864ebe4b05c2afe972e1d/1403544811681/Social+Security+Advocacy+Example+Letters.doc

Date added: February 9, 2015 - Views: 14

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STATE OF WASHINGTON - Arc Of Spokane

Social Security Administration Consent Form (SSA-827) Washington Apple Health Application for. Long Term Care. Medical (HCA 18-005) Information about the IFS Waiver.

http://www.arc-spokane.org/PDFs/2015%20PDFs/Letter%20to%20IFS%20Clients.docx

Date added: May 31, 2015 - Views: 1

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www.alz.org

Both programs provide for monthly benefit checks and are administered by the Social Security Administration. ... Medical Release Form (SSA-827) (attach link to SSA)

http://www.alz.org/oregon/documents/ssi_checklist.doc

Date added: June 12, 2015 - Views: 1

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SOAR Tools - Adams 12 Five Star Schools

SSA-827: Authorization to Disclose Information to SSA (PDF 140 kb) and. your agency's Release of Information form signed by the applicant to . each .

http://www.adams12.org/files/outreach/SOAR.docx

Date added: August 24, 2014 - Views: 1

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www.clark.wa.gov

WA has a standard DOC release. Many DOC’s require SSA- 827(Authorization for release) and SSA-3288 (Consent for Release . of Information) which must be completed.

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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EMPLOYER’S GUIDE - Social Security

SOCIAL SECURITY ADMINISTRATION. ... Rico-sited employers can be found in SSA’s Employer’s Guide to Filing Timely and Accurate Form 499R-2/W ... 1-800-827 -5722 or ...

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

Date added: October 13, 2011 - Views: 172

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Post Call Questions and Answers - Mass Family...

If the Social Security Administration approves your PASS, ... The form number is an SSA-827. ... Title: Post Call Questions and Answers Author:

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

Date added: June 1, 2012 - Views: 4

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FSHOP 55-14 - dcf.state.fl.us

55-14 Chattahoochee, Florida. ... All referrals to the Social Security Administration are the responsibility of the resident’s Human ... (SSA) (Form SSA-827) (c) ...

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

Date added: October 2, 2012 - Views: 15

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Application and Order - sccgov.org

The order is in conformity with Immigration and Naturalization guidelines ... 1 Confidential in accordance with Penal Code Section 11167.5 and/or WIC Sections 827 and ...

https://www.sccgov.org/ssa/opp2/13_xp/documents/app_order_sijs.doc

Date added: July 14, 2015 - Views: 1

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Pilot Demonstration to Improve Disability...

Demonstration Program to Improve SSI and Medicaid Disability Determination Processing Time for Adults with Severe and Persistent Mental Illness

http://mha.ohio.gov/Portals/0/assets/Supports/Benefit%20Planning/ssi-demonstration-overview.doc

Date added: November 22, 2015 - Views: 1

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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 ... Social Security Administration. Payroll (former employee/telecom)

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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UCR Letterhead UE Dept - UCR Study Abroad

951.827.7750 • Fax 951.827.7745 • www.ue.ucr.edu. REQUEST FOR PROPOSALS. UCR . Faculty-L. ed Summer Study Abroad Programs, Summer 2016. The ...

http://studyabroad.ucr.edu/faculty/rfp_ssa_2015_16_final.docx

Date added: December 6, 2015 - Views: 1

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UCR Letterhead UE Dept - UCR Study Abroad

951.827.7750 • Fax 951.827.7745 • www.ue.ucr.edu. Undergraduate Education Summer Study Abroad Scholarship. Applicant Name: Student ID Number: Major(s): Minor ...

http://studyabroad.ucr.edu/documents/summer/ue_ssa_scholarship_2014.docx

Date added: April 3, 2015 - Views: 1

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JV-365 - sccgov.org

& Inst. Code §§ 826.6 and 827 and rule 5.552 of the California Rules of Court) _____ h. ... JV-365. NONMINOR’S NAME: CASE NUMBER: 3. g.

https://www.sccgov.org/ssa/forms/department/dfcs/jv365_english.doc

Date added: July 22, 2015 - Views: 1

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DRIVER’S LICENSE - firstdistrictcourt.nmcourts.gov

Driver Services Bureau. Post Office Box 1028. Santa Fe, NM 87504-1028. ATTN: DWI RESTORATION. ... (505) 827-9807. FIRST JUDICIAL DISTRICT COURT. STATE OF NEW MEXICO.

https://firstdistrictcourt.nmcourts.gov/Forms/doc/DRIVER.doc

Date added: October 25, 2012 - Views: 19

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Social Security Administration - CLEARWATER

Title: Social Security Administration Author: Michael Waling Last modified by: arife Created Date: 10/15/2009 3:58:00 PM Company: Michael Walling & Associates, Inc.

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

Date added: July 14, 2013 - Views: 64

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www.unitedwaysalina.org

P.O. Box 355. Salina, KS 67402-0355. Tel 785.827.1312. Fax 785.827.1882. Media Contact: FOR IMMEDIATE RELEASE Brenda Gutierrez, 785.827.1312 . News Release

http://www.unitedwaysalina.org/sites/unitedwaysalina.org/files/EFSP%20News%20release%202015%20Phase%2032%20SSA.doc

Date added: June 12, 2015 - Views: 1

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EXECUTIVE MEMO #1 - NADE

Title: EXECUTIVE MEMO #1 Author: Theresa Klubertanz Last modified by: Georgina B. Huskey Created Date: 3/11/2009 11:30:00 PM Company: Social Security Administration

http://www.nade.org/2009_Executive_Memo_9a_GBH.doc

Date added: January 21, 2016 - Views: 1

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www.mitoaction.org

There are three ways in which you can request a disability hearing before an administrative law judge. This judge will have the power to overturn the SSA’s decision ...

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

Date added: May 22, 2013 - Views: 10

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1996 - 1998 FORUM ARTICLES INDEX

Forum Articles Index: ... Electronic SSA-827 Form Starts on Limited Basis Apr/7/12. ... Social Security Administration's Disability Programs: Evaluation .

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

Date added: March 25, 2014 - Views: 63

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User Guide for Access to the Electronic Folder -...

User Guide for Access to the Electronic Folder. December 2012 Table of Contents. Appointed Representative Access to the Electronic Folder. 2. Overview

http://www.socialsecurity.gov/ere/ere_demo_public/html/ERE/userInstructions/WORD/Access_Claimants_Electronic_Folder_and_Pickup_Files.doc

Date added: January 22, 2013 - Views: 64

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Early Intervention Year Two Report - University of...

The Social Security Administration ... Payment is again made through the State’s department of finance and reimbursed by SSA. 9) We can use the SSA 827 form as a ...

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

Date added: October 20, 2011 - Views: 93

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Chapter Title Here - Cornell University

The Social Security Administration’s. Benefits Planning Query (BPQY) ... 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: 57

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Manhattan CE RFP 2003 Draft - New York

Social Security Administration’s regulations prohibit the subcontracting of the functions in this contract ... (SSA-827) and other pertinent forms. The contractor ...

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

Date added: May 9, 2015 - Views: 12

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Chapter 404 - Pass-along - SC DHHS

404.04 1977 Pass-Along ... Potentially eligible individuals are referred to State DHHS by written notification from the Social Security Administration (SSA).

http://www1.scdhhs.gov/mppm/word/Section400/Chapter%20404%20Pass-Along.doc

Date added: March 7, 2015 - Views: 1

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USSSA is pleased to announce that Ken Stephens has...

Ken Stephens is the USSSA Michigan Baseball Umpire-In-Chief. Through Ken’s leadership, ... 313-827-1204 (c) 734-552-0473. 3/16/2006. Title:

http://www.michusssa.com/files/UIC2013.doc

Date added: July 26, 2013 - Views: 2

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AVAILABLE BENEFITS AND ENTITLEMENT

For reimbursement, apply through VA. Call 1-800-827-1000 or visit: ... Burial Allowance Payable by Social Security Administration. Eligibility determined by the SSA.

http://www.lee.army.mil/hrd/documents/AVAILABLE%20BENEFITS%20AND%20ENTITLEMENT4a.doc

Date added: January 29, 2013 - Views: 3

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Assistant Secretary for Housing-Federal Housing...

If the entry is not on the list of SSA issued numbers, ... (888) 827-5605. Sincerely, John C. Weicher. Assistant Secretary for Housing-Federal Housing Commissioner.

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

Date added: June 22, 2012 - Views: 2

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INCOME I: DHS Benefits and Health Insurance -...

Form 827 (“Authorization to Disclose Information to Social Security Administration”) available at: http://www.ssa.gov/online/ssa-827.pdf. Form 3441 ...

http://chep.colorado.edu/wp-content/uploads/2014/07/I-HELP-Manual.docx

Date added: March 30, 2015 - Views: 14

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www.dshs.wa.gov

SSA Release of Info SSA827 . DSHS Release of Info form (DSHS 14-012) Client Service Overpayment form (DSHS 18-398) Social Service Incorrect Payment Computation ...

https://www.dshs.wa.gov/sites/default/files/ALTSA/hcs/documents/LTCManual/CORE%20LTC%20Programs%20Chapter.doc

Date added: September 2, 2015 - Views: 2

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Assistant Secretary for Housing-Federal Housing...

The Federal Housing Administration ... the Social Security Administration ... (888-827-5605). Sincerely, Assistant Secretary for Housing-

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

Date added: March 13, 2013 - Views: 6

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IEHP Disabilities Programs & Activities

(951) 827-4538. RIV. Riverside Community College (951) 222-8060. RIV. EMPLOYMENT. Dept of Rehabilitation ... * SSA, SSI, SSDI. State Disability Insurance (800) 480 ...

https://ww3.iehp.org/~/media/Marketing/Files/Member/English/Disability%20Program/DisabilityResources%20English%20Word.docx

Date added: August 15, 2015 - Views: 1

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www.masslegalservices.org

SSA will publish specific proposed revisions after considering public comments and suggestions, information about advances in medical knowledge, treatment, ...

http://www.masslegalservices.org/system/files/library/7-03_NL_word.doc

Date added: February 27, 2015 - Views: 1