Report - SUBMISSION FORM & FEE SCHEDULE · Form SSA-89 (06-2013) SSA Authorization Form (GMC #958)(10/13) Page 1 of 2 Social Security Administration Form Approved OMB No. 0960-0760 Authorization

Select PornographicDefamatoryIllegal/UnlawfulSpamOther Terms Of Service ViolationFile a copyright complaint

Please pass captcha verification before submit form