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Write down the details in Dates, Covered Type, of, coverage Social, Insurance Name, of, Agency, to, which From, To contributions, paid, if, any and City, and, State, or, Province

In the section talking about bUS, Social, Security, Number foreign, country Name, and, Address, of Social, Insurance Name, of, Agency, to From, To employer, or, self, employment, activity Number, used, while, working which, contributions, paid and Type, of, Industry, or, business you have to put down some vital data.

The Dates, Covered Type, of, coverage Social, Insurance Name, of, Agency, to, which From, To contributions, paid, if, any and City, and, State, or, Province area is the place where all parties can put their rights and obligations.

Prepare the template by checking these fields: Name, of, country Page, of BENEFIT, CLAIMED, FROM, FOREIGN, COUNTRY Retirement, Old, Age Survivors, None, Disability, or, Sickness, Invalidity Other, Specify BENEFIT, CLAIMED, FROM, THE, UNITED, STATES Yes, type, of, US, benefit If, Yes, answer, b, below If, No, answer, c, below Yes, and If, Yes, answer, d, below

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