Follow the steps to successfully fill out the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the worker's Social Security number. This number is essential for linking the claim to the correct individual.
3. In the name field, enter the full name of the worker on whose earnings the claim is based, along with the names of each beneficiary residing outside the United States.
4. Indicate the country of birth and present residency details for each person listed in item 3, including citizenship information.
5. If applicable, provide U.S. passport details. Include the passport number and the date issued.
6. Complete item 4 for any beneficiaries who have been or will be outside the U.S. in the specified time frames.
7. Answer item 6 regarding employment outside the U.S. for all individuals listed in item 3 if applicable. Provide the names and work dates.
8. Respond to item 7 with the names and living history of individuals listed in item 3, detailing the number of years lived in the U.S. and their relationship to the worker.
9. If the worker listed in item 1 is deceased, answer item 8 about the circumstances of their death.
10. For individuals who are not U.S. citizens, complete items 10 through 14 regarding residency and tax obligations.
11. Provide the payment address where funds should be sent while abroad, and fill out the mailing address if different.
12. If living at a different address than those previously listed, complete the residence address section.
13. In the certification section, ensure each person listed signs the form, either individually or through a representative.
14. Review all entries for accuracy to avoid delays in processing.
15. Once completed, save changes, download the form, or print it for submission.

Start filling out your Form Approved Noomb 0960 0051 online today!