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Image: Form SSA-101 in 1978

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Description: A filled-out Form SSA-101 from 1978. Titled the Determination of Award, it was the central internal form used by Claims Authorizers in the U.S. Social Security Administration to process initial entitlement to Social Security benefits.
Title: Form SSA-101 in 1978
Credit: scan of physical document; a number of fields whited out
Author: Jonathan Schilling
Usage Terms: Public domain
License: Public domain
Attribution Required?: No

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