Create Form Ssa 3288

Form Ssa 3288: What Is It?

This form will be used by the Social Security Administration in the United States. A Form SSA 3288 is known as a Consent for Release of Information form. This form will be used to give consent to the SSA to release your information to a third party, such as a doctor or an insurance company. This form can be used for adults and for the non-medical information for a minor.

This form must be filled out completely in order for the Social Security Administration to honor it. Be sure to include your full name, social security number, and date of birth so you can be identified by the SSA. You will also need to include the names of the individuals or organizations that you consent your information may be released to. Make sure you list the reason for your information being released. If the reason does not relate to social security benefits, there may be an associated fee.