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David R. Hampton
Professional Disability & Retirement Representative

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    Completion and/or submission of this 'Representation Request Form' does not constitute an agreement by David Hampton for representation. Per Social Security Administration, representation is acceptable only after the completion of form SSA-1696 (Appointment of Representative) and a Fee Agreement, approved by SSA.
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Need additional help, or would like a personal, informational consultation? Please call:

239.541.7407


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Para Traducción español Llamar:
For Spanish Translation Call:

Flora Gutierrez, BBA
1.305.588.6154

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David R. Hampton PDR EDPNA, Professional Secure Assistance, LLC, Cape Coral, FL  33914  |  p 239.541.7407  f 239.541.9322
www.AskPSA.com. Social Security Disability and Retirement Counseling for Individuals, Companies, and Organizations.
Para Traducción español Llamar (For Spanish Translation Call): Flora Gutierrez, BBA at 1.305.588.6154

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