法定姓名和首选姓名 ................................................................................................................................................4 性别认同 ................................................................................................................................................................4 社会安全号码 (SSN) ................................................................................................................................................4 电子邮件地址 ................................................................................................................................................................4 家庭地址、邮寄地址 ................................................................................................................................................4 授权代表和替代收款人 ................................................................................................................................................5 纳税申报问题 ................................................................................................................................................................5 过去的医疗服务 ................................................................................................................................................................5 基于年龄、失明或残疾的计划 ................................................................................................................................5 申请或继续享受福利 ................................................................................................................................................5 部落信息 ................................................................................................................................................................5 移民身份 ................................................................................................................................................................6 第 2 步 — 其他家庭成员 ................................................................................................................................................7