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How to fill out the SSA 1020 printable application form online

This guide provides a clear and comprehensive overview of how to fill out the SSA 1020 printable application form online. It's designed to support individuals in navigating the application process for Extra Help with Medicare prescription drug plan costs.

Follow the steps to complete your SSA 1020 application online.

  1. Click ‘Get Form’ button to access the SSA 1020 application form and have it open in your preferred editor.
  2. Begin filling in your personal information, including your name and Social Security number, as it appears on your Social Security card. Ensuring this matches is crucial for application processing.
  3. Provide your date of birth and indicate if you worked or earned money in the years 2007 or 2008. This data is necessary for income verification.
  4. Input your current mailing address. If you have relocated recently, check the box indicating this is a new address to ensure all correspondence is sent to the correct location.
  5. Fill in your contact information, including a phone number where you can be reached for follow-ups regarding your application.
  6. Declare any combined savings, investments, and properties. Be mindful of the resource limits, as exceeding them may affect your eligibility for Extra Help.
  7. If applicable, enter your spouse's information, including their name, Social Security number, and any statements regarding their income or resources.
  8. Indicate your household size, which is vital for determining eligibility based on the income limit guidelines.
  9. Disclose any other income sources or earnings from work. Make sure to provide the total monthly amounts.
  10. Review all entered information to ensure accuracy. This can alleviate potential delays in processing.
  11. Once complete, submit your application online. You will receive a summary of your entries, and you can choose to print or save a receipt for your records.

Get started on your SSA 1020 application online now to secure your benefits.

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Get Ssa 1020 Printable Application Form
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Ssa 1020 Printable Application Form
This form is available in several versions.
Select the version you need from the drop-down list below.
2022 SSA Publication 05-10508
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  • Ssa 1020 Printable Application Form
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