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The document is an application form for retirement insurance benefits from the Social Security Administration. It collects personal information from applicants, including their name, Social Security number, citizenship status, marital history, and employment details. The form also includes sections for reporting changes in circumstances that may affect eligibility for benefits and provides information about Medicare enrollment. The applicant must declare the accuracy of the information provided under penalty of perjury.

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Versions	Form popularity	Fillable & printable
2022	4.1 Satisfied (51 Votes)
2019	4.8 Satisfied (96 Votes)
2018	4.4 Satisfied (68 Votes)
2017	4.4 Satisfied (147 Votes)
2014	4.4 Satisfied (279 Votes)
2006	3.9 Satisfied (33 Votes)

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