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Work Activity Report
(Self-Employed Person)
How to Obtain the Form
Below you will find Form in Portable Document Format (PDF). To print
the PDF version, you will need the Adobe Acrobat reader software. If you
do not already have this special software, see our page
on downloading and printing PDF documents. After you download the
Adobe Acrobat Reader, come back to this page and download the PDF version
of the SSA-821-BK:
SSA-820 in
How to Complete the Form
The claimant or his/her representative completes items 2 through 11. The
SSA-820-F4 is considered to be a self-help form. |
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