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Work Activity Report, Employee
This form collects information that determines whether individuals have worked in employment after becoming disabled, and if so, whether the work is substantial gainful activity. The data is reviewed and evaluated to determine if the recipient continues to meet the disability requirements of the law.
Form #:  SSA 821 BK
Agency:  Social Security Administration
  TYPE PAGES SIZE (KB) CAPABILITY WHAT'S
NEEDED
pdf Both Form and Instructions 12   [2] Printable Only Adobe Reader Download  

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