Effective Dates: 12/13/2017 - Present Previous | Next

DI 12095.117 SSA-1560-U4 (Petition For Authorization to Charge and Collect a Fee for Services Before the Social Security Administration)

Go to OS 15030.049 to obtain the most current Form.

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http://policy.ssa.gov/poms.nsf/lnx/0412095117
DI 12095.117 - SSA-1560-U4 (Petition For Authorization to Charge and Collect a Fee for Services Before the Social Security Administration) - 12/13/2017
Batch run: 12/13/2017
Rev:12/13/2017