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FORM SSA-711 01-2015 Destroy Prior Editions Page 1 PROCESSING LIMITATIONS A Request for information CANNOT be processed for INDIVIDUALS WHO DIED BEFORE NOVEMBER 1936.

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How to fill out the Ssa711 Form online

The Ssa711 Form is essential for requesting a deceased individual's social security record. This guide provides a step-by-step process for completing the form online, ensuring a smooth and efficient experience for users.

Follow the steps to fill out the Ssa711 Form online effectively.

  1. Press the ‘Get Form’ button to access the Ssa711 Form and open it in a suitable online editor.
  2. Carefully read the instructions on the first page of the form to understand what information you need to provide.
  3. On page 2, specify the details regarding the information you want. If necessary, make photocopies of this page for multiple requests.
  4. For the photocopy of the original application for a Social Security Card (SS-5), indicate whether you will provide the deceased individual's Social Security Number (SSN) and the associated fee.
  5. If the SSN is known, write $27 under Line A; if not known, write $29 under Line B.
  6. For a computer extract of the Social Security Number Application, specify the fee as follows: write $16 under Line C if the SSN is provided, or $18 under Line D if it is not.
  7. If certification is required, add $10 under Line E.
  8. Sum the totals from Lines A through E and enter the result in Line F.
  9. Choose your payment method; if paying by credit card, complete the attached Form SSA-714. If paying by check or money order, ensure it is payable to 'Social Security Administration' and includes your details.
  10. Fill in the deceased individual’s information, including name, date of birth, place of birth, and any other identifying details you can provide.
  11. If the SSN is unavailable, also complete the section regarding the parents’ information as fully as possible.
  12. Complete the requester’s information section by providing your printed name, date, signature, and contact details.
  13. Finally, review the completed form for accuracy. Save your changes, and proceed to download, print, or share the form as required.

Complete the Ssa711 Form online today to facilitate your request for important social security records.

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The SSA-787, Medical Source Opinion of Patient's Capability to Manage Benefits, is the preferred vehicle for obtaining medical evidence of capability.

General information for recording statements on the SSA-795. Use an SSA-795 whenever a signed statement is required or desirable, except when we request some other form or questionnaire or we can readily adapt for the statement.

(b) Examples of circumstances where good cause may exist include, but are not limited to, the following situations: (1) You were seriously ill and were prevented from contacting us in person, in writing, or through a friend, relative, or other person. (2) There was a death or serious illness in your immediate family.

You can apply for benefits by calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or by visiting your local Social Security office. An appointment is not required, but if you call ahead and schedule one, it may reduce the time you spend waiting to apply.

If You Disagree With A Non-Medical Decision You may request an appeal online for a "non-medical" decision. If you do not wish to appeal a "non-medical" decision online, you can use the Form SSA-561, Request for Reconsideration.

Please use Form SSA-711 to request a deceased person's SS-5; however this form is not required. You may also mail your request to: Social Security Administration. OEIO FOIA Workgroup. 6100 Wabash Ave. P.O. Box 33022.

A Form SSA 795 is known as a Statement of Claimant or Other Person. It will be received and recorded by the Social Security Administration in the United States. The form will be used by a third party to make a statement about the applicant's employment or wages.

Where do I send form SSA-795? The office is listed under U. S. Government agencies in your telephone directory or you may call Social Security at 1-800-772-1213 (TTY 1-800-325-0778). You may send comments on our time estimate above to: SSA, 6401 Security Boulevard, Baltimore, MD 21235-6401.

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