Get Form Ssa 1610 U2 Ss Public Assistance Agency Information Request And Report

The Form Ssa 1610 U2 Ss Public Assistance Agency Information Request And Report facilitates communication between public assistance agencies and Social Security offices. This guide will provide step-by-step instructions to help you complete this form online efficiently.

Follow the steps to fill out the Form Ssa 1610 U2 online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete Item 1 by providing information about the wage earner, including their name, date of birth, sex, and social security number. If the social security number is unknown, enter 'UNK' and attach a completed Form SS-5.
3. In Item 2, fill in the mailing address of the local Social Security office. Ensure the address fits a window envelope to facilitate easy mailing.
4. For Item 3, provide details about the individual whose public assistance claim is involved, including their name and social security number. If the claimant and wage earner are the same, indicate 'same' in the designated block.
5. In Item 4, fill out the public assistance agency request. Begin by indicating whether the requested information is available on the BENDEX, SDX, or BUY-IN systems. If 'no' is selected, explain why it is not usable. Specify the program title for which the information is required and complete the names, social security numbers, and dates of birth for all individuals relevant to the request.
6. Use Item 5 for any remarks or additional information if needed. This may include consent statements.
7. Item 6 requires a signature from the requesting official, while Item 7 should be completed by the SSA official responding to your request.
8. Finally, in Item 8, provide the name and address of the agency that should receive the completed form. Ensure the original copy is prepared for mailing to SSA, and the control copy can be kept by the public assistance agency.

Take action now and start filling out your Form Ssa 1610 U2 online for a smooth process.