Dap referral form pa 731 2025

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The document is a DAP Referral Form used for clients applying for SSI/SSDI benefits. It collects essential client information, including personal details, application status, and social history. The form also includes sections for documenting previous benefits, appeals, and supporting documentation. Additionally, it requires signatures from the client and representatives from the Social Security Administration.

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Click ‘Get Form’ to open the dap referral form pa 731 in the editor.
Begin by entering the 'CASE NUMBER' and 'CLIENT NAME' at the top of the form. Ensure that all personal information is accurate.
Fill in the 'DATE OF BIRTH' and 'SEX' fields. This information is crucial for identification purposes.
Complete the 'ADDRESS' section, providing a current address for effective communication.
In the 'DAP ADVOCATE' section, specify the advocate's name who will assist with this referral.
Attach any necessary documents by checking the appropriate boxes under 'COPIES OF DOCUMENTS RELATING TO THE FOLLOWING ARE ATTACHED'.
Answer questions regarding SSI/SSDI applications, including whether the client has applied and their application status.
Finally, ensure you sign and date the form at the bottom before submitting it through our platform for processing.

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