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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2012 | 4.9 Satisfied (375 Votes) |
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Retirement, Survivors, Disability Insurance (RSDI) benefits paid to or on behalf of individuals by the Social Security Administration (SSA).
Maintaining the privacy, security and integrity of data about our research participants, students and staff is both an ethical and legal responsibility.
In signing this form, I authorize the Social Security Administration to send this payment to the financial institution indicated in Section 3 and deposit it in.