We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Ssa 7004

Get Ssa 7004

Form Approved OMB No. 0960-0466 SP Request for Earnings and Benefit Estimate Statement Please check this box if you want to get your statement in Spanish instead of English. Please print or type your.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Ssa 7004 online

This guide provides clear and comprehensive instructions on completing the Ssa 7004 form online. Whether you are seeking an earnings estimate for yourself or someone you are authorized to represent, follow these steps to ensure accurate submission.

Follow the steps to complete the Ssa 7004 form online.

  1. Click ‘Get Form’ button to access the Ssa 7004 form and open it in your digital editor.
  2. Begin by entering your full name as shown on your Social Security card in the designated fields.
  3. Input your Social Security number exactly as it appears on your card.
  4. Provide your date of birth in the format Mo.-Day-Year.
  5. If applicable, enter any other Social Security numbers you have previously used.
  6. Select your sex by indicating 'Male' or 'Female' in the corresponding field.
  7. Fill out your complete mailing address, including any apartment number, P.O. Box, or rural route.
  8. Indicate your actual earnings from the last year, specifying the amount in dollars only.
  9. Estimate your earnings for the current year, again specifying the amount in dollars only.
  10. Provide the age at which you plan to stop working. Only enter one age.
  11. Enter your expected future average yearly earnings based on your projections until you stop working.
  12. Decide if you want the statement sent to you or to another person, entering the appropriate name and address.
  13. Sign your name as requested (do not print) to certify the accuracy of the information provided.
  14. Finally, review the completed form for any errors, then save your changes, download, print, or share the form as necessary.

Complete your Ssa 7004 form online today for an efficient and accurate process.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Request for Social Security Statement Form...
Form SSA-7004 (11-2017). Discontinue Prior Editions. Social Security Administration. Page...
Learn more
Request for Social Security Statement
SOCIAL SECURITY ADMINISTRATION. Mail completed form to: Social Security Administration...
Learn more
Your Retirement Benefit—How It Is Figured...
Or, you can request a Statement by calling Social Security and asking for a form SSA-7004...
Learn more

Related links form

NEXT PAGE PLEASE - Bradley University - Bradley Click On For Race Form - Bradley University - Bradley Involving Your Family Petition To Receive Graduate Credit - Brandeis University

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

By calling the main SSA phone line at 1-800-772-1213. By contacting your local SSA office. By creating an online account with the SSA's website.

A Social Security 1099 or 1042S Benefit Statement, also called an SSA-1099 or SSA-1042S, is a tax form that shows the total amount of benefits you received from Social Security in the previous year.

You can get your Statement online anytime by creating your personal my Social Security account. Create your account today at socialsecurity.gov/myaccount.

The Social Security Statement, Form SSA-7005-SM Section 1143 of the Social Security Act specifies the personal information that SSA must include on the form. NOTE: The Social Security Statement has no approved acronym.

Individuals use Form SSA-795 to make signed statements relating to claims for Social Security benefits or Supplemental Security Income (SSI) payments under 20 CFR 404.702 and 416.570 of the Code of Federal Regulations.

In most cases, you can take or mail this signed application with your documents to any Social Security office. Any documents you mail to us will be returned to you.

Hello! Most offices have drop boxes you can use, but, you may wish to wait and speak with someone at your local SSA office. Make sure to get a receipt, so you have proof you dropped your forms off. If you mail your documents, there are no promises that they will reach the Social Security office.

If you mail any documents to us, you must include the Social Security number so that we can match them with the correct application. Do not write anything on the original documents. Please write the Social Security number on a separate sheet of paper and include it in the mailing envelope along with the documents.

Form SSA-7004, Request for Social Security Statement, is used by individuals requesting detailed information about their previous earnings that count toward their ability to eventually qualify for social security benefits.

Yes, faxing is secure under all appropriate privacy rules. Can I fax evidence using my PC fax software? Yes. However, the first page for each document you are sending must be the barcode provided to you by the Social Security office or State Disability Determination Services (DDS) that is handling the disability claim.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Ssa 7004
Get form
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
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