the completed authorization form or letter to the address ... to claim benefits you should file...

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Page 1: the completed authorization form or letter to the address ... TO CLAIM BENEFITS you should file written notice and proof of disability (Claim Form DB-450)

Page 2: the completed authorization form or letter to the address ... TO CLAIM BENEFITS you should file written notice and proof of disability (Claim Form DB-450)

Page 3: the completed authorization form or letter to the address ... TO CLAIM BENEFITS you should file written notice and proof of disability (Claim Form DB-450)

Page 4: the completed authorization form or letter to the address ... TO CLAIM BENEFITS you should file written notice and proof of disability (Claim Form DB-450)

Page 5: the completed authorization form or letter to the address ... TO CLAIM BENEFITS you should file written notice and proof of disability (Claim Form DB-450)

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