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Sample Letter To Social Security Of Intent To Return To Work



Social Security Administration
(address of your office)

RE: Sally Fisher, Social Security Number: 000-00-0000 (It is important to include your name and Social Security number)

Dear Social Security:

I wish to report that I intend to attempt to return to work part-time. I plan to start working on March 13, 2010 at Acme, Inc. at 1313 Mockingbird Lane, Springdale, CD 00412. I will be working approximately 10 hours per week at $15.00 per hour for an estimated weekly earnings of $150.00 per week.

I will keep track of my hours and earnings and will report them to you upon request. (If you intend to be self-employed, you should say: "I will keep track of my hours, income and expenses and will report them to you upon request.")

Should there be any changes in this proposed schedule, I will let you know.

Very truly yours,


Sally Fisher


Certified Mail: Return Receipt Requested


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