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United States Security Office resume in Ogden, UT - June 2025
Form SSA-**** (**-****) UF
Discontinue Prior Editions
Social Security Administration
Claimant's Appointment of a Representative
Page 3 of 6
OMB No. 0960-0527
Section 1 - Reason for Submission and Claimant's Information Reason for Submission
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