Certificate of Responsibility for Welfare and Care of Child Not in Applicant's Custody (Form SSA-781) - Oct 2019

Authorization to release information to the Social Security Administration

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Certificate of Responsibility for Welfare and Care of Child Not in Applicant's Custody (Form SSA-781) - Oct 2019
Large thumbnail of Certificate of Responsibility for Welfare and Care of Child Not in Applicant's Custody (Form SSA-781) - Oct 2019
Large thumbnail of Certificate of Responsibility for Welfare and Care of Child Not in Applicant's Custody (Form SSA-781) - Oct 2019
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