APPLICATION FOR SUPPLEMENTAL SECURITY INCOME (SSI)
Form SSA-8000-BK (06-2019) UF Discontinue Prior Editions Social Security Administration. Page 1 of 24 OMB No. 0960-0229. APPLICATION FOR SUPPLEMENTAL SECURITY INCOME (SSI) Note: Social Security Administration staff or others who help people apply for SSI will fill out this form for you. I am/We are applying for Supplemental Security Income ................
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