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MDCDISP/OD Modified Benefits Formula Questionnaire, Employer
Modified Benefits Formula Questionnaire, Employer - Form SSA-58 is used by the Social Security Administration (SSA) to verify or disprove a claimants allegation regarding a pension based on non-covered employment after 1956. It also shows whether that claimant was eligible for the pension before 1986.
Form #:  SSA 58
Agency:  Social Security Administration
  TYPE PAGES SIZE (KB) CAPABILITY WHAT'S
NEEDED
paper Form Only 1   [1] Paper Only Other Client Software  

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