Get 0960-0045 Social Security Administration Statement Of Claimant Or Other Person Name Of Wage Earner

Filling out the 0960-0045 form is essential for individuals seeking to communicate their expenses related to disability and the impact on their ability to work. This guide provides straightforward, step-by-step instructions to help users accurately complete the form online.

Follow the steps to effectively fill out the form.

1. Click ‘Get Form’ button to access the form and open it in a usable format.
2. In the first section, provide the name of the wage earner, self-employed person, or SSI claimant. Write in their social security number clearly in the designated space.
3. Next, input your name if you are making the statement on behalf of someone else. Include your relationship to the individual listed above in the provided field.
4. Review the statement regarding out-of-pocket expenses. Underline that these expenses are not reimbursed and ensure you understand your responsibility to supply necessary proof.
5. Indicate the medications you take to manage your disability by filling in the section that lists the medication name, the disability they address, and the average monthly out-of-pocket expense for each.
6. If applicable, provide information regarding additional conditions treated by a physician, including a statement from the physician if needed.
7. Complete the form by signing and dating it on the back. Ensure all required proof documents such as receipts or pharmacy printouts are attached before submission.
8. After reviewing the completed form for accuracy, save your changes, and prepare to download, print, or share the form as necessary before sending it to the local social security office.

Start completing your document online for a seamless experience.