SSA‑8 Lump‑Sum Death Payment Form (Fillable PDF)

The SSA‑8 is the official Social Security Administration (SSA) application for a lump‑sum death payment to surviving family members. This form is required when a beneficiary wants a one‑time cash payment after the death of a qualified worker.

What Is the SSA‑8 Form?

The SSA‑8 collects personal details about the deceased, the claimant, and the type of payment being requested. It is used by the SSA to verify eligibility and calculate the amount owed.

How to Fill Out the SSA‑8 Online with Formize

Instead of downloading, printing, and scanning, you can complete the form directly on our site. Click the "Fill out this form" button, wait for the Formize PDF Filler to load, and start typing. All fields are interactive, and the app saves your progress automatically.

Key Sections & Required Information

• Section 1: Deceased’s Social Security number and date of death.
• Section 2: Claimant’s relationship to the deceased and contact details.
• Section 3: Payment options – direct deposit or paper check.
• Section 4: Signature and date.

Common Mistakes to Avoid

• Leaving the Social Security number blank or entering it with dashes.
• Providing an outdated address – the SSA will mail any correspondence there.
• Missing the claimant’s signature; an unsigned form is rejected.
• Choosing the wrong payment method (e.g., selecting direct deposit without providing bank details).

Where to Submit the Completed Form

After you finish, download the completed PDF and bring it to your local Social Security office or mail it to the address listed on the form. You can locate the nearest office at SSA.gov/locator.