What is Form SSA 1724 f4 used for?

collects the information when a surviving widow(er) is not already entitled to a monthly benefit on the same earnings records, or is not filing for a lump-sum death payment as a former spouse. SSA uses the information Form SSA-1724 provides to ensure proper payment of an underpayment due a deceased beneficiary.

How do I fill out Form SSA 795?

Name. Social security number. Name of person making statement. Relationship to wage earner, self-employed person, or SSI claimant. Certified statement that is for the Social Security Administration. Signature of person making statement. Date.

How do I fill out Form SSA 1724 f4?

Name of deceased. Social security number of deceased. Name of worker. Death date and state of residence of deceased. Name of applicant. Relationship to deceased. Next of kin or legal representative of deceased. ... Signature of applicant.

How do I get my deceased parents Social Security Statement?

Calling 1-800-772-1213 (TTY 1-800-325-0778), Monday through Friday from 7 a.m. to 7 p.m.; or. Contacting your local Social Security office.

How do I fill out Form SSA 1724?

Name of deceased. Social security number of deceased. Name of worker. Death date and state of residence of deceased. Name of applicant. Relationship to deceased. Next of kin or legal representative of deceased. ... Signature of applicant.

What is a SSA 795 form?

Individuals use Form SSA-795 to make signed statements relating to claims for Social Security benefits or Supplemental Security Income (SSI) payments under 20 CFR 404.702 and 416.570 of the Code of Federal Regulations.

What is a SSA 7005 form?

The Social Security Statement, Form SSA-7005-SM Section 1143 of the Social Security Act specifies the personal information that SSA must include on the form. NOTE: The Social Security Statement has no approved acronym.

A Social Security 1099 or 1042S Benefit Statement, also called an SSA-1099 or SSA-1042S, is a tax form that shows the total amount of benefits you received from Social Security in the previous year.

Where do I send form SSA 1724 f4?

Where should the Form SSA-1724-F4 be sent? The completed form should be sent to the local Social Security Office. If any questions arise, the applicant should call 1-800-772-1213.

What is Form SSA 1724 f4 used for?

collects the information when a surviving widow(er) is not already entitled to a monthly benefit on the same earnings records, or is not filing for a lump-sum death payment as a former spouse. SSA uses the information Form SSA-1724 provides to ensure proper payment of an underpayment due a deceased beneficiary.

Get Ssa-754-f4 2016-2025

WAS THIS UNDERSTANDING LATER CHANGED If yes what were the changes and when and why were they made If yes what did you say to each other about how long you would live together Form SSA-754-F4 06-2012 EF 06-2012 Destroy Prior Editions Page 1 OVER 8. SOCIAL SECURITY ADMINISTRATION Form Approved OMB No. 0960-0038 Do not write in this space TOE 420 STATEMENT OF MARITAL RELATIONSHIP By one of the parties All items on this form requiring an answer must be answered or marked Unknown. I understand that the information given by me will be used in connection with an application filed for insurance benefits payable under Title II of the Social Security Act as amended based on the earnings of the wage earner or self-employed person named below. These notices additional information regarding this form and information regarding our programs and systems are available on-line at www. socialsecurity. gov or at your local Social Security office. 1. PRINT NAME OF WAGE EARNER OR SELF EMPLOYED PERSON 2. PRINT YOUR FULL NAME First middle initial last 3. NAME OF PERSON WITH WHOM YOU WERE LIVING 4. WHEN DID YOU BEGIN LIVING TOGETHER IN A HUSBAND AND WIFE RELATIONSHIP WHERE DID YOU LIVE MONTH YEAR CITY OR TOWN STATE 5. Privacy Act Notice Section 216 h of the Social Security Act as amended authorizes us to collect this information* We will use this information to make a determination on your claim* Furnishing us this information is voluntary. However failure to provide all or part of the information could prevent us from making an accurate and timely decision on your benefit eligibility. We rarely use the information you supply for any purpose other than for making a determination relating to benefit eligibility. However we may use it for the administration and integrity of Social Security programs. We may also disclose information to another person or to another agency in accordance with approved routine uses which include but are not limited to the following 1. To enable a third party or an agency to assist Social Security in establishing rights to Social Security benefits and/or coverage 2. To comply with Federal laws requiring the release of information from Social Security records e*g* to the Government Accountability Office and Department of Veterans Affairs 3. To make determinations for eligibility in similar health and income maintenance programs at the Federal State and local level and 4. To facilitate statistical research audit or investigative activities necessary to assure the integrity and improvement of Social Security programs e*g* to the Bureau of the Census and private concerns under contract to Social Security. We may also use the information you provide in computer matching programs. Matching programs compare our records with records kept by other Federal State or local government agencies. Information from these matching programs can be used to establish or verify a person s eligibility for Federally-funded or administered benefit programs and for repayment of payments or delinquent debts under these programs.

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