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CHILD RELATIONSHIP STATEMENT

Form SSA-2519 (08-2019) Discontinue Prior Editions Social Security AdministrationPage 1 of 3 OMB No. 0960-0116 Privacy Act STATEMENT Collection and Use of Personal Information Section 216(h)(3) of the Social Security Act, as amended, allows us to collect this information. Furnishing us this information is voluntary. However, failing to provide all or part of the information may prevent us from making an accurate and timely decision regarding Social Security benefits. We will use the information to determine eligibility for benefits.

Section 216(h)(3) of the Social Security Act, as amended, allows us to collect this information. We will use the information you provide …

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