SSA‑8 Application for Lump‑Sum Death Payment – Fillable PDF

The SSA‑8, titled “Application for Lump‑Sum Death Payment,” is the official form used by the Social Security Administration (SSA) to determine eligibility for a one‑time death benefit when a wage earner or self‑employed worker passes away.

What Is the SSA‑8 Form?

This form collects information about the deceased, the surviving spouse or children, military service, and work history both in the United States and abroad. The data helps the SSA calculate the lump‑sum payment amount.

How to Complete the SSA‑8 Online

Instead of downloading, printing, and mailing a paper copy, you can fill the SSA‑8 directly in your browser using Formize’s fillable PDF feature. Click the “Fill out this form” button below, wait for the Formize PDF Filler to load, and start entering your information.

Common Mistakes to Avoid

• Leaving required fields blank – the filler will highlight missing data.
• Entering an incorrect Social Security Number for the deceased.
• Providing outdated military service dates.
• Submitting without attaching supporting documents (e.g., death certificate).

Eligibility & Required Documentation

Generally, the lump‑sum death payment is available to the surviving spouse, children, or parents of the deceased who earned enough work credits. You’ll need a certified death certificate, proof of relationship, and any military discharge papers if applicable.

Submit Your Form Securely

After completing the form, review all entries, use the built‑in validator, and then either download the completed PDF for mailing or submit it electronically through the SSA portal if you have an account.