BASIC (05-04)

DI 11036.003 Example 1 – ALS SSA-795

This is an example of all information needed on SSA-795 for ALS allegation:

G-DI_11036.003

 View PDF Version


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0411036003
DI 11036.003 - Example 1 - ALS SSA-795 - 09/09/2004
Batch run: 01/27/2009
Rev:09/09/2004