[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Social Security Administration] [Address] [City, State, ZIP] Subject: Application for Social Security Benefits Dear Sir/Madam, I am writing to apply for Social Security benefits under the State of Delaware program. As a resident of Delaware, I believe I am eligible to receive Social Security benefits based on my contributions and the requirements set forth by the Social Security Administration. Below, I have provided the required information to support my application: 1. Personal Information: — Full Name: [Your Full Name— - Social Security Number: [Your SSN] — Date of Birth: [Your DOB— - Gender: [Male/Female/Non-binary] 2. Contact Information: — Current Address: [Your Current Address] — Contact Phone Number: [Your Phone Number] — Email Address: [Your Email Address] 3. Employment and Contribution History: — Years of Work: [Number of years worked] — Employer(s): [List of employer(s)— - Average Monthly Income: [Your average monthly income] — Date of Last Employment: [Date of last day worked] — Proof of Employment: [Documents or records supporting employment history] 4. Medical Condition: — Brief description of the medical condition or disability for which you are seeking benefits. Include supporting medical records and doctor's diagnosis if applicable. 5. Supporting Documents: — Birth certificate or prooorganag— - Social Security card — Proof of citizenship or lawful residency status — Marriage certificate, divorce decree, or spouse's death certificate (if applicable) — Bank account details for direct deposit (if desired) — Any other supporting documents to strengthen the application I request you to kindly consider my application and process it at the earliest convenience. If there are any additional documents or information required, please let me know promptly so that I can provide them without delay. I am eagerly looking forward to your positive response. Should you have any questions or need further clarification, please do not hesitate to contact me via the provided contact details. Thank you for your time and attention to this matter. Sincerely, [Your Name]