The following questions on this form will be used to help establish the child's relationship to the worker on whose record a claim has been filed. Completion of this form is voluntary. Failure to provide all or any part of the requested information will hinder the development of the child's claim and may result in denial of the claim. The information you furnish may be disclosed by Social Security to another person or to another governmental agency for the following purposes: (1) to assist Social Security in establishing the right of an individual to Social Security benefits: (2) to facilitate statistical research and audit activities necessary to assure the integrity and improvement of the Social Security programs (e.g., the Bureau of the Census): and (3) to comply with Federal laws requiring the exchange of information between Social Security and another agency (e.g., the General Accounting Office). |