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File:Form SSA-2795 in 1978.jpg

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Original file (1,687 × 2,169 pixels, file size: 1.17 MB, MIME type: image/jpeg)

Summary

Description
English: A filled-out Form SSA-2795 from 1978. Titled the Determination of Resumption of Award, it was the central internal form used by Benefit Authorizers in the U.S. Social Security Administration to process changes of entitlement to Social Security benefits.
Date
Source scan of physical document; two fields whited out
Author Jonathan Schilling

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Public domain
This work is in the public domain in the United States because it is a work prepared by an officer or employee of the United States Government as part of that person’s official duties under the terms of Title 17, Chapter 1, Section 105 of the US Code. Note: This only applies to original works of the Federal Government and not to the work of any individual U.S. state, territory, commonwealth, county, municipality, or any other subdivision. This template also does not apply to postage stamp designs published by the United States Postal Service since 1978. (See § 313.6(C)(1) of Compendium of U.S. Copyright Office Practices). It also does not apply to certain US coins; see The US Mint Terms of Use.
This file has been identified as being free of known restrictions under copyright law, including all related and neighboring rights.

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27 February 1978

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Date/TimeThumbnailDimensionsUserComment
current16:32, 16 June 2019Thumbnail for version as of 16:32, 16 June 20191,687 × 2,169 (1.17 MB)Jonathan Schilling{{Information |description ={{en|1=A filled-out Form SSA-2795 from 1978. Titled the Determination of Resumption of Award, it was the central internal form used by Benefit Authorizers in the U.S. Social Security Administration to process changes of entitlement to Social Security benefits. }} |date =1978-02-27 |source =scan of physical document; two fields whited out |author =User:Jonathan Schilling }} Category:Social Security Administration, United States [...

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