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Program Operations Manual System (POMS)
Effective Dates: 03/08/1995 - Present
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Basic (03-95)
GN 03950.070
Exhibit - Example of SSA-795, Statement of Claimant or Other Person (For Use in Requests for Administrative Review - Fee Petition)
To view the form, go to SSA-795.
To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0203950070
GN 03950.070 - Exhibit - Example of SSA-795, Statement of Claimant or Other Person (For Use in Requests for Administrative Review - Fee Petition) - 03/08/1995
Batch run:
09/05/2019
Rev:
03/08/1995