Instructions for Form SSA-1021 Appeal of Determination for Extra Help With Medicare Prescription Drug Plan Costs

Form SSA-1021 Appeal of Determination for Extra Help With Medicare Prescription Drug Plan Costs

This document contains official instructions for Form SSA-1021 , Appeal of Determination for Extra Help With Medicare Prescription Drug Plan Costs - a form released and collected by the U.S. Social Security Administration. An up-to-date fillable Form SSA-1021 is available for download through this link.

Instruction Details:

• This 2-page document is available for download in PDF;
• Actual and applicable for the current year;
• Complete, printable, and free.

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