A Social Security Administration Consent for Release of Information Form (or SSA 3288, or social security administration authorization form) is a document that you should complete to allow some people and organizations to get personal information about yourself.
Typically, among these people and organizations are:
You must complete the release of liability form attentively because skipping the blank fields or writing incorrect details may cause problems.
Each SSA consent for release of information contains specific details, including:
For the validity of the SSA 3288 form, you have to ask two witnesses to sign the paper.
It is typical to use this form when you (or a minor or an incompetent adult you take care of) are applying to receive financial or medical support.
For instance, if you need to obtain an electric wheelchair, the responsible institution must access specific information to issue one. They need an SSA 3288 form signed by an applicant to access such data.
|Document Name||SSA 3288 Form|
|Other Names||Social Security Administration Authorization, Social Security Medical Release|
|Avg. Time to Fill Out||13 minutes|
|# of Fillable Fields||40|
|Available Formats||Adobe PDF|
To make everything easier, we have prepared a detailed guide to help you complete the SSA 3288 form.
Download the Template
You should begin by downloading the correct template of the SSA 3288 form. To speed the process up, use our form-building software.
Read the Instructions
As we have mentioned before, the SSA 3288 form suggests you read the basic instructions and rules that regulate the creation of such a document. Read the whole text carefully. If something is still unclear, you may contact your lawyer and ask questions.
Enter Your Information
In the suitable blank lines, add your name, date of birth, and social security number (or SSN).
Name the Institutions or Individuals
Below your information, list organizations, or people who may access your data. Place the names on the left-hand side and the addresses on the right.
Describe the Reasons
Then, describe why you want your information disclosed to those institutions (or people).
Choose the Data to Disclose
You will see a list of items that may be revealed to the chosen parties. Opt for suitable items.
Sign the Form
Insert the date of signing, your address, and your telephone number. Sign the paper and ask two witnesses to sign, too.