Power of attorney and authorisation

US Social Security earnings record

I, the undersigned, ____________________ (full name), ID / passport number ____________________, authorise Neos Tech Ltd (Joy Work OS), and the lawyers and agents it engages, to apply in my name to Social Security Administration (SSA) and to order and receive for me: US Social Security earnings record.

This authorisation is valid for 90 days from signing and for this request only.