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Activity: Social Security

Total forms: 129

Forms (129)

Application for Employer Identification Number
  • English
  • Social Security

Application for Employer Identification Number

Form SS-4 (Rev. December 2019)

Application for Social Security Card
  • English
  • Social Security

Application for Social Security Card

Application for Social Security Card (Spanish)
  • Social Security
  • Spanish

Application for Social Security Card (Spanish)

Solicitud para una tarjeta de Seguro Social

APPLICATION FOR WIDOW'S OR WIDOWER'S INSURANCE BENEFITS
  • English
  • Social Security

APPLICATION FOR WIDOW'S OR WIDOWER'S INSURANCE BENEFITS

CMS L564 REQUEST FOR EMPLOYMENT INFORMATION (Spanish)
  • Social Security
  • Spanish

CMS L564 REQUEST FOR EMPLOYMENT INFORMATION (Spanish)

SOLICITUD DE INFORMACIÓN SOBRE EL EMPLEO

Form SSA-1-BK
  • English
  • Social Security

Form SSA-1-BK

Application For Retirement Insurance Benefits

Form SSA-1-BK (Spanish)
  • Social Security
  • Spanish

Form SSA-1-BK (Spanish)

SOLICITUD PARA BENEFICIOS DE SEGURO POR JUBLIACIÓN

Form SSA-10 (Spanish)
  • Social Security
  • Spanish

Form SSA-10 (Spanish)

SOLICITUD PARA BENEFICIOS DE SEGURO COMO CÓNYUGE SOBREVIVIENTE

Form SSA-10-INST
  • English
  • Social Security

Form SSA-10-INST

CHANGES TO BE REPORTED AND HOW TO REPORT

Form SSA-1021
  • English
  • Social Security

Form SSA-1021

Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs

Form SSA-1021 (Spanish)
  • Social Security
  • Spanish

Form SSA-1021 (Spanish)

Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs

Form SSA-131
  • English
  • Social Security

Form SSA-131

Employer Report of Special Wage Payments

Form SSA-1372
  • English
  • Social Security

Form SSA-1372

Advance Notice of Termination of Child's Benefits

Form SSA-1372-BK-FC
  • English
  • Social Security

Form SSA-1372-BK-FC

Advance Notice of Termination of Child's Benefits

Form SSA-1372-BK-FC (Spanish)
  • Social Security
  • Spanish

Form SSA-1372-BK-FC (Spanish)

Advance Notice of Termination of Child's Benefits

Form SSA-1383
  • English
  • Social Security

Form SSA-1383

Student Reporting Form

Form SSA-1383-FC
  • English
  • Social Security

Form SSA-1383-FC

Student Reporting Form - Foreign

Form SSA-1414
  • English
  • Social Security

Form SSA-1414

Credit Card Payment Form

Form SSA-1458
  • English
  • Social Security

Form SSA-1458

Certification by religious group

Form SSA-150
  • English
  • Social Security

Form SSA-150

MODIFIED BENEFIT FORMULA QUESTIONNAIRE

Form SSA-1560
  • English
  • Social Security

Form SSA-1560

Petition To Obtain Approval Of A Fee For Representing A Claimant Before The SSA

Form SSA-16-BK
  • English
  • Social Security

Form SSA-16-BK

Application for Disability Insurance Benefits

Form SSA-16-BK (Spanish)
  • Social Security
  • Spanish

Form SSA-16-BK (Spanish)

Application for Disability Insurance Benefits

Form SSA-1691
  • English
  • Social Security

Form SSA-1691

Eligible Non-Attorney Representative Application

Form SSA-1693
  • English
  • Social Security

Form SSA-1693

Fee Agreement for Representation before the Social Security Administration

Form SSA-1694
  • English
  • Social Security

Form SSA-1694

Request for Business Entity Taxpayer Information

Form SSA-1696
  • English
  • Social Security

Form SSA-1696

Appointment of Representative

Form SSA-1696-SUP1
  • English
  • Social Security

Form SSA-1696-SUP1

Instructions for Completing Form SSA-1696-SUP1

Form SSA-1696-SUP2
  • English
  • Social Security

Form SSA-1696-SUP2

Appointment of Representative

Form SSA-1699
  • English
  • Social Security

Form SSA-1699

Request for Appointed Representative Services and Direct Payment

Form SSA-1945
  • English
  • Social Security

Form SSA-1945

Statement Concerning Your Employment in a Job Not Covered by Social Security

Form SSA-199
  • English
  • Social Security

Form SSA-199

VOCATIONAL REHABILITATION PROVIDER CLAIM

Form SSA-2-BK
  • English
  • Social Security

Form SSA-2-BK

APPLICATION FOR WIFE'S OR HUSBAND'S INSURANCE BENEFITS

Form SSA-2-BK (Spanish)
  • Social Security
  • Spanish

Form SSA-2-BK (Spanish)

SOLICITUD PARA BENEFICIOS COMO CÓNYUGE-APPLICATION FOR WIFE'S OR HUSBAND'S INSURANCE BENEFITS - SSA-2-BK-SP

Form SSA-2010-F6
  • English
  • Social Security

Form SSA-2010-F6

Statement for Determining Continuing Entitlement for Special Veterans Benefits (SVB)

Form SSA-2032-BK
  • English
  • Social Security

Form SSA-2032-BK

Request For Waiver Of Special Veterans Benefits (Svb)

Form SSA-21
  • English
  • Social Security

Form SSA-21

Supplement To Claim Of Person Outdside the United States

Form SSA-24
  • English
  • Social Security

Form SSA-24

APPLICATION FOR SURVIVORS BENEFITS

Form SSA-25
  • English
  • Social Security

Form SSA-25

Certificate of Election For Reduced Spouse's Benefits

Form SSA-2512
  • English
  • Social Security

Form SSA-2512

PRE-1957 MILITARY SERVICE - FEDERAL BENEFIT QUESTIONNAIRE

Form SSA-2519
  • English
  • Social Security

Form SSA-2519

Child Relationship Statement

Form SSA-263
  • English
  • Social Security

Form SSA-263

Waiver Of SSI Payment Continued

Form SSA-2855
  • English
  • Social Security

Form SSA-2855

Statement of funds you received

Form SSA-3
  • English
  • Social Security

Form SSA-3

Marriage Certification

Form SSA-3033
  • English
  • Social Security

Form SSA-3033

Work Activity Questionnaire

Form SSA-308
  • English
  • Social Security

Form SSA-308

MODIFIED BENEFIT FORMULA QUESTIONNAIRE - FOREIGN PENSION

Form SSA-3105
  • English
  • Social Security

Form SSA-3105

Important Information About Your Appeal, Waiver Rights, and Repayment Options

Form SSA-3288
  • English
  • Social Security

Form SSA-3288

Consent for Release of Information

Form SSA-3288 (Spanish)
  • Social Security
  • Spanish

Form SSA-3288 (Spanish)

Consent for Release of Information

Form SSA-3368-BK
  • English
  • Social Security

Form SSA-3368-BK

Disability Report - Adult

Form SSA-3369
  • English
  • Social Security

Form SSA-3369

Work History Report

Form SSA-3373-BK
  • English
  • Social Security

Form SSA-3373-BK

Function Report - Adult

Form SSA-3375-BK
  • English
  • Social Security

Form SSA-3375-BK

Form SSA-3376-BK
  • English
  • Social Security

Form SSA-3376-BK

Function Report - Child Age 1 to 3rd Birthday

Form SSA-3377-BK
  • English
  • Social Security

Form SSA-3377-BK

Function Report - Child Age 3 to 6th Birthday

Form SSA-3378-BK
  • English
  • Social Security

Form SSA-3378-BK

Form SSA-3379-BK
  • English
  • Social Security

Form SSA-3379-BK

Function Report - Child Age 12 to 18th Birthday

Form SSA-3380
  • English
  • Social Security

Form SSA-3380

Function Report- Adult

Form SSA-3820
  • English
  • Social Security

Form SSA-3820

Disability Report - Child

Form SSA-3881
  • English
  • Social Security

Form SSA-3881

Questionnaire For Children Claiming SSI Benefits

Form SSA-3885
  • English
  • Social Security

Form SSA-3885

Government Pension Questionnaire

Form SSA-4-BK
  • English
  • Social Security

Form SSA-4-BK

Application for Child's Insurance Benefits

Form SSA-4-BK (Spanish)
  • Social Security
  • Spanish

Form SSA-4-BK (Spanish)

Application for Child's Insurance Benefits (Spanish)

Form SSA-4-INST
  • English
  • Social Security

Form SSA-4-INST

Reporting Responsibilities for Child's Insurance Benefits

Form SSA-4111
  • English
  • Social Security

Form SSA-4111

Certificate of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits

Form SSA-4162
  • English
  • Social Security

Form SSA-4162

Childcare Dropout Questionnaire

Form SSA-437
  • English
  • Social Security

Form SSA-437

Complaint Form for allegations of program discrimination by the social security administration

Form SSA-437-BK (Spanish)
  • Social Security
  • Spanish

Form SSA-437-BK (Spanish)

Complaint Form for allegations of program discrimiation by the social security administration

Form SSA-44
  • English
  • Social Security

Form SSA-44

Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event

Form SSA-454-BK
  • English
  • Social Security

Form SSA-454-BK

Continuing Disability Review Report

Form SSA-4814
  • English
  • Social Security

Form SSA-4814

Medical Report On Adult With Allegation Of HIV Infection

Form SSA-4815
  • English
  • Social Security

Form SSA-4815

Medical Report On Child Wtih Allegation Of Human Immunodeficiency Virus (HIV) Infection

Form SSA-5-BK
  • English
  • Social Security

Form SSA-5-BK

Application for mother's or father's insurance benefits

Form SSA-5-BK (Spanish)
  • Social Security
  • Spanish

Form SSA-5-BK (Spanish)

SOLICITUD DE BENEFICIOS POR SEGURO DE MADRE O PADRE* (Application for mother's or father's insurance benefits)

Form SSA-5-INST
  • English
  • Social Security

Form SSA-5-INST

Reporting responsibilities for mother's or father's insurance benefits

Form SSA-5062
  • English
  • Social Security

Form SSA-5062

Claimant's Statement About Loan of Food or Shelter

Form SSA-521
  • English
  • Social Security

Form SSA-521

Request for Withdrawal of Application

Form SSA-521 (Spanish)
  • Social Security
  • Spanish

Form SSA-521 (Spanish)

Request for Withdrawal of Application - Spanish

Form SSA-546
  • English
  • Social Security

Form SSA-546

Worker's Compensation/Public Disabiity Benefit Questionnaire- SSA-546

Form SSA-561-U2
  • English
  • Social Security

Form SSA-561-U2

Request for Reconsideration

Form SSA-5665-BK
  • English
  • Social Security

Form SSA-5665-BK

Teacher Questionnaire

Form SSA-5665-BK (Spanish)
  • Social Security
  • Spanish

Form SSA-5665-BK (Spanish)

Teacher Questionnaire

Form SSA-5666
  • English
  • Social Security

Form SSA-5666

Request for administrative information

Form SSA-604
  • English
  • Social Security

Form SSA-604

CERTIFICATE OF INCAPACITY

Form SSA-632-BK
  • English
  • Social Security

Form SSA-632-BK

Request for Waiver of Overpayment Recovery

Form SSA-632-BK (Spanish)
  • Social Security
  • Spanish

Form SSA-632-BK (Spanish)

Request for Waiver of Overpayment Recovery - Spanish

Form SSA-634
  • English
  • Social Security

Form SSA-634

Request for Change in Overpayment Recovery Rate

Form SSA-634 (Spanish)
  • Social Security
  • Spanish

Form SSA-634 (Spanish)

Request for Change in Overpayment Recovery Rate

Form SSA-640
  • English
  • Social Security

Form SSA-640

Financial Disclosure For Civil Monetary penalty (Cmp) Debt

Form SSA-671
  • English
  • Social Security

Form SSA-671

Railroad Employment Questionnaire

Form SSA-7
  • English
  • Social Security

Form SSA-7

APPLICATION FOR PARENT'S INSURANCE BENEFITS

Form SSA-7-F6 (Spanish)
  • Social Security
  • Spanish

Form SSA-7-F6 (Spanish)

SOLICITUD PARA BENEFICIOS DE SEGURO DE PADRES

Form SSA-7004
  • English
  • Social Security

Form SSA-7004

Request for Social Security Statement

Form SSA-7004 (Spanish)
  • Social Security
  • Spanish

Form SSA-7004 (Spanish)

Solicitud para un Estado de cuenta del Seguro Social

Form SSA-7008
  • English
  • Social Security

Form SSA-7008

Request For Correction of Earnings Record

Form SSA-7050
  • English
  • Social Security

Form SSA-7050

Request for Social Security Earnings Information

Form SSA-7104
  • English
  • Social Security

Form SSA-7104

Partnership Questionnaire

Form SSA-711
  • English
  • Social Security

Form SSA-711

Request for Deceased Individual's Social Security Record

Form SSA-714
  • English
  • Social Security

Form SSA-714

You Can Make Your Payment by Credit Card

Form SSA-7156
  • English
  • Social Security

Form SSA-7156

Farm Self-Employment Questionnaire

Form SSA-7157
  • English
  • Social Security

Form SSA-7157

Farm Arrangement Questionnaire

Form SSA-7160
  • English
  • Social Security

Form SSA-7160

Employment Relationship Questionnaire

Form SSA-7163
  • English
  • Social Security

Form SSA-7163

QUESTIONNAIRE ABOUT EMPLOYMENT OR SELF-EMPLOYMENT OUTSIDE THE UNITED STATES

Form SSA-7163A
  • English
  • Social Security

Form SSA-7163A

Supplemental Statement regarding Farming Activities of Person Living Outside the USA

Form SSA-721
  • English
  • Social Security

Form SSA-721

Statement of Death By Funeral Director

Form SSA-731
  • English
  • Social Security

Form SSA-731

Notice to Electronic Information Exchange Partners to Provide Contractor List

Form SSA-753
  • English
  • Social Security

Form SSA-753

STATEMENT REGARDING MARRIAGE

Form SSA-754-F5
  • English
  • Social Security

Form SSA-754-F5

Statement of Marital Relationship

Form SSA-769-U4
  • English
  • Social Security

Form SSA-769-U4

Request for Change in Time/Place of Disability Hearing

Form SSA-770-U4
  • English
  • Social Security

Form SSA-770-U4

Notice regarding substitiution of party upon death of claimant reconsideration of disability cessation

Form SSA-773-U4
  • English
  • Social Security

Form SSA-773-U4

Waiver of Right to Appear - Disability Hearing

Form SSA-781
  • English
  • Social Security

Form SSA-781

CERTIFICATE OF RESPONSIBILITY FOR WELFARE AND CARE OF CHILD NOT IN APPLICANT'S CUSTODY

Form SSA-783
  • English
  • Social Security

Form SSA-783

Statement regarding Contributions

Form SSA-788
  • English
  • Social Security

Form SSA-788

Statement of Care and Responsibility for Beneficiary

Form SSA-789
  • English
  • Social Security

Form SSA-789

Request for reconsideration - Disability Cessation Right To Appear

Form SSA-795
  • English
  • Social Security

Form SSA-795

STATEMENT OF CLAIMANT OR OTHER PERSON

Form SSA-8
  • English
  • Social Security

Form SSA-8

APPLICATION FOR LUMP-SUM DEATH PAYMENT

Form SSA-8 (Spanish)
  • Social Security
  • Spanish

Form SSA-8 (Spanish)

SOLICITUD DEL PAGO GLOBAL POR FALLECIMIENTO* (Application for Lump-sum Death Payment)

Form SSA-8240
  • English
  • Social Security

Form SSA-8240

AUTHORIZATION FOR THE SOCIAL SECURITY ADMINISTRATION TO OBTAIN WAGE AND EMPLOYMENT INFORMATION FROM PAYROLL DATA PROVIDERS

Form SSA-827
  • English
  • Social Security

Form SSA-827

Authorization to Disclose Information to the Social Security Administration (SSA)

Form SSA-8510
  • English
  • Social Security

Form SSA-8510

Authorization for the Social Security Administration to Obtain Personal Information

Form SSA-88
  • English
  • Social Security

Form SSA-88

Pre-Approval Form For Consent Based SS Number Verification

Form SSA-89
  • English
  • Social Security

Form SSA-89

Authorization for the Social Security Administration (SSA) To Release Social Security Number (SSN) Verification

Form SSA-89 (Spanish)
  • Social Security
  • Spanish

Form SSA-89 (Spanish)

Autorización para que la Administración del Seguro Social
Divulgue la Verificación de un Número de Seguro Social (SSN)

Notice Regarding Substitution of Party Upon Death of Claimant (Spanish)
  • Social Security
  • Spanish

Notice Regarding Substitution of Party Upon Death of Claimant (Spanish)

AVISO SOBRE LA SUBSTITUCIÓN DE LA PARTE INTERESADA TRAS EL FALLECIMIENTO DEL RECLAMANTE

REQUEST TO WITHDRAW AN APPEALS COUNCIL REQUEST FOR REVIEW
  • English
  • Social Security

REQUEST TO WITHDRAW AN APPEALS COUNCIL REQUEST FOR REVIEW

REQUEST TO WITHDRAW AN APPEALS COUNCIL REQUEST FOR REVIEW (Spanish)
  • Social Security
  • Spanish

REQUEST TO WITHDRAW AN APPEALS COUNCIL REQUEST FOR REVIEW (Spanish)

SOLICITUD PARA RETIRAR UNA PETICIÓN PARA REVISIÓN CON EL CONSEJO DE APELACIONES

Social Security Administration Important Information
  • English
  • Social Security

Social Security Administration Important Information

Voluntary Withholding Request
  • English
  • Social Security

Voluntary Withholding Request

Form W-4V (Rev. February 2018)

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