Form SSA-3288-SP, Consentimiento Para Divulgar Información, is a form used for authorizing the U.S. Social Security Administration (SSA) to release the information from your personal SSA file to a specific individual or group. The document is issued and should be completed in Spanish.
The latest version of the form was released on 1 de noviembre de 2016. A printable Form SSA-3288-SP is available for download below or can be found on the SSA website. The SSA Information Release Form is also provided in English (Form SSA-3288, Consent for Release of Information). Both documents are used for the same purpose but are printed and completed in different languages.
Complete Form SSA-3288 when you need to release your Social Security records to an individual or company (e.g. medical institution or insurance company). You cannot use this form to request your employment history or earnings information - fill out Form SSA-7050-F4, Request for Social Security Earnings Information (English) instead.
You also can submit this form on behalf of a minor or legally incompetent adult. If you are a parent or legal guardian of a minor child, fill out this document to release non-medical information only. Visit your local Social Security office or call the toll-free number provided on the form to release medical records of a minor child.
Form SSA-3288 instructions are provided on the first two pages of the form. Moreover, you can find detailed step-by-step completion instructions below. Fill out all fields marked with an asterisk (*), otherwise, the SSA will not be able to process your request.
The instructions for the SSA information release form are as follows:
Mail or bring the completed form to your local Social Security office. You can find the address you need on the SSA website or request it by calling the toll-free number indicated on the second page of the form.
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