Αποτελέσματα Αναζήτησης
WHAT YOU NEED TO DO. First, please read the instructions below. This is important because not all questions are self-explanatory. Then, complete your report and return it to the Social Security Administration, P.O. Box 7162, Wilkes-Barre, Pennsylvania, 18767-7162, U.S.A. in the enclosed envelope within 60 days from the day you receive it.
Print your address if it differs from the one shown. 2. Provide a daytime telephone number for contact. 3. Answer all questions truthfully and completely. 4. Sign and date the form at the end. 5. Return the completed form in the provided envelope.
Form SSA-7162-OCR-SM (01-2021) Discontinue Prior Editions Page 1 of 2 Social Security Administration OMB No. 0960-0049. REPORT TO THE UNITED STATES SOCIAL SECURITY ADMINISTRATION. IMPORTANT: FAILURE TO COMPLETE AND RETURN THIS FORM WITHIN 60 DAYS WILL RESULT IN A SUSPENSION OF BENEFITS.
7162 FORM APPROVED OMB NO. 0960-0049 SOCIAL SECURITY ADMINISTRATION REPORT TO THE UNITED STATES SOCIAL SECURITY ADMINISTRATION IMPORTANT: Failure to complete and return this form within 60 days will result in suspension of benefits.
Fill out and submit Form SSA-7162-OCR-SM online for free. Download the blank form in PDF and Word format. Generate a ready-to-print PDF version.
Form SSA-7162-OCR-SM (01-2021) Discontinue Prior Editions Page 1 of 2 Social Security Administration 0MB No. 0960-0049. REPORT TO THE UNITED STATES SOCIAL SECURITY ADMINISTRATION. IMPORTANT: FAILURE TO COMPLETE AND RETURN THIS FORM WITHIN 60 DAYS WILL RESULT IN A SUSPENSION OF BENEFITS.
FORM APPROVED OMB NO. 0950-0049 7162 REPORT TO UNITED STATES SOCIAL SECURITY ADMINISTRATION IMPORTANT: Failure to complete and return this form within 60 days will result in suspension of benefits. SIGN AND RETURN THIS FORM IN THE ENCLOSED ENVELOPE. SEE INSTRUCTIONS ENCLOSED. The information requested on this form is sought pursuant to the
