Effective Dates: 11/06/1996 - Present Previous | Next

Basic (03-86)

DI 13095.175 SSA-5526-U3 (Request for Assistance -- Disability)

Use this link to view the latest version of the Form SSA-5526-U3 (Request for Assistance -- Disability).

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0413095175
DI 13095.175 - SSA-5526-U3 (Request for Assistance -- Disability) - 11/06/1996
Batch run: 08/30/2019
Rev:11/06/1996