Explain to the person making the statement that signing form SSA-8010-BK provides
authorization for the Social Security Administration to check statements and compare
its records with records from other State and Federal agencies and contact employers
for all SSI claims/redeterminations. Provide an opportunity for the individual(s)
to object to or limit the authorization, but explain the specific effects that any
authorization limitations may have. Do not photocopy this section of the form. Obtain
authorization (form SSA-8510) as needed for third party contacts.