SSA-1372 – Advance Notice of Termination of Child’s Benefits (Fillable PDF)

The SSA-1372 is the official "Advance Notice of Termination of Child's Benefits" used by the Social Security Administration (SSA). It informs the SSA when a child’s benefits will end, typically because the child is graduating, moving out, or no longer meets eligibility requirements.

This fillable PDF version lets you complete the form quickly, without printing, scanning, or mailing paperwork. Simply click the "Fill out this form" button on the page and the Formize PDF Filler app will load, letting you type, sign, and save your answers directly in your browser.

Key sections of the SSA-1372 form include:

• Student’s personal information (name, SSN, date of birth)
• School attendance details and expected graduation date
• Employer earnings information for the earnings test
• Signature lines for the student, parent/guardian, and SSA representative

Filling out the form online ensures legible entries, automatic date stamps, and instant PDF generation that you can download or email to the SSA.

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