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NL: Notices, Letters and Paragraphs

Effective Dates: 05/20/2011 - Present

BASIC (05-11)

REL011 POSSIBLE ENTITLEMENT AS AN ADOPTED CHILD(T06)

(Requested)

Caption: Other Social Security Benefits

If  (1)  legally adopted  (2) , contact us because  (3)  may qualify for benefits as an adopted child.

Fill-in values:

Fill-in (1) Systems Generated

First Name plus Last Name

Fill-in (2) Systems Generated

Choice 1: Beneficiary's given name plus last name

Choice 2: you

Fill-in (3) Systems Generated

Choice 1: he

Choice 2: she

Choice 3: you

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