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Statement Regarding Student's Attendance
Statement Regarding Student's Attendance - Form SSA-2434 is used by the Social Security Administration (SSA) to determine student entitlement status of the children of coal miners, children of their widows or the brother of deceased miners eligible for Black Lung benefits. This form collects information from students about to attain age 18, for the express purpose of evaluating their continuing eligibility for program benefits under the Federal Mine Safety Act of 1977.
Form #:  SSA 2434 F3
Agency:  Social Security Administration
  TYPE PAGES SIZE (KB) CAPABILITY WHAT'S
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paper Form Only 4   [1] Paper Only Other Client Software  

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