Social Security Release

For your convenience, the following Social Security Release form SS-3288, is available to you for downloading

Liability SS Release		WC SS Release
Social Secuirty Release Form		Social Secuirty Release Form

If you complete our on-line referral form requesting "Determine Need for Set Aside", this release will be forwarded to your e-mail address with claimant information automatically repopulated.

Royal MSA Consultants, Inc. PO Box 2067, Oldsmar, FL 34677-7067
Tel. (813) 749-8282, (800) 528-1002, Fax: (813) 749-8285