Ssa 1709-2025

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The document is a form from the Social Security Administration (SSA) requesting information regarding workers' compensation or public disability benefits. It outlines the importance of providing accurate information to determine the impact on Social Security disability benefits, as mandated by law. The form includes sections for identifying the worker, detailing claims, and authorizing the release of information. It also explains how the SSA may use this information for various purposes, including compliance with legal requirements and statistical research.

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Versions	Form popularity	Fillable & printable
2003	4.8 Satisfied (80 Votes)

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