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
  • Independent Agency Forms
  • Independent Agency SSA Forms
  • Ssa-827 2012

Get Ssa-827 2012

Rcumstances in which this information may be redisclosed to other parties (see page 2 for details). I may write to SSA and my sources to revoke this authorization at any time (see page 2 for details). SSA will give me a copy of this form if I ask; I may ask the source to allow me to inspect or get a copy of material to be disclosed. I have read both pages of this form and agree to the disclosures above from the types of sources listed. PLEASE SIGN USING BLUE OR BLACK INK ONLY IF not signed by s.

This website is not affiliated with any governmental entity

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-827 online

The SSA-827 form, also known as the authorization to disclose information to the Social Security Administration, is essential for processing your claim for benefits. Accurately completing this form ensures that pertinent medical and educational records are obtained to support your application.

Follow the steps to fill out the SSA-827 online:

  1. Click ‘Get Form’ button to retrieve the SSA-827 form. This will allow you to access the form and begin the filling process.
  2. In the first section, provide the name of the person whose records will be disclosed. Fill out the first, middle, last name, and any suffix.
  3. Enter the social security number (SSN) of the individual in the designated field.
  4. Include the individual's birthday in the specified format (mm/dd/yy) to verify their identity.
  5. Read the authorization section carefully. This section outlines what information can be disclosed, including medical and educational records relevant to the individual's abilities and impairments.
  6. Specify all relevant medical information, including conditions like psychological issues or substance abuse, and any education-related records that may assist in the evaluation of daily activities.
  7. Indicate all potential sources of information concerning the individual's condition. This can include hospitals, schools, employers, and others who may provide pertinent insights.
  8. In the appropriate sections, clearly state to whom the information is being disclosed, primarily the Social Security Administration and any necessary state agencies.
  9. Provide the purpose for which this information is being gathered, emphasizing its relevance to determining eligibility for benefits.
  10. Review the expiration date and terms of the authorization, noting that it remains valid for 12 months from the date signed.
  11. The individual authorizing the disclosure should sign and date the form, including their contact information as required.
  12. If necessary, include a witness signature or a second witness, making sure to adhere to any state-specific requirements.
  13. Verify that all sections have been filled out completely. Once verified, users can save changes, download, print, or share the completed form.

Complete your SSA-827 form online today to ensure your application is processed smoothly.

Get form

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

Related content

Form SSA-827 - Social Security
Form SSA-827 (03-2020). Discontinue Prior Editions. AUTHORIZATION TO DISCLOSE INFORMATION...
Learn more
Medical/Professional Relations - Social Security
Electronic Signature Process for the SSA-827 ... This site is intended to help health and...
Learn more
user guide - Imctv.com
If you are watching a program in this format, you will get superior quality sound...
Learn more

Related links form

MN DHS-6125-ENG 2014 MN FI-00610-01 2005 MN FSI - Fall Scene Investigation Report MN IC 140-0163 2008

Questions & Answers

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

Contact support

A representative payee is a person or organization assigned to handle Social Security Disability (SSD) benefits for a disabled individual. This is the purpose of the form SSA-623. ...

To get your records, simply request them from your doctor's office. You may have to pay a fee for copying. ... If you are getting records before your appeal hearing, you need only get the most recent records -- any medical records from visit to doctors or hospitals since you applied for Social Security.

The Social Security Administration (SSA) offers two types of disability benefits: SSI, or Supplemental Security Income; and SSDI, or Social Security Disability Insurance. While both benefit programs are designed for disabled individuals, their eligibility requirements and benefits differ.

Most SSDI recipients receive between $800 and $1,800 per month (the average for 2020 is $1,258). However, if you are receiving disability payments from other sources, as discussed below, your payment may be reduced.

pdf) SSA and its affiliated State disability determination services use Form SSA-827, "Authorization to Disclose Information to the Social Security Administration (SSA)" to obtain medical and other information needed to determine whether or not a claimant is disabled.

WHAT IS SSI? SSI stands for Supplemental Security Income. Social Security administers this program. We pay monthly benefits to people with limited income and resources who are disabled, blind, or age 65 or older.

In some cases, beneficiaries who initially received the short-form mailer will be flagged for a CDR. They will then receive the longer Continuing Disability Review Report, and have to undergo a full medical review. This process typically takes 5 to 6 months or longer.

You must be 18 or older to complete the Representative Payee Accounting Report online. If you are under 18 and a representative payee, you must complete the paper Representative Payee Report form you received in the mail and return it to the address shown on the form.

However, if you're wondering if Disability would pay more, just ask yourself where you are relative to your full retirement age. If you're under it, disability will be higher. If you're above it, Social Security will be higher.

An SSA-1099 is a tax form we mail each year in January to people who receive Social Security benefits. It shows the total amount of benefits you received from Social Security in the previous year so you know how much Social Security income to report to IRS on your tax return.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
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-827
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
SSA-827
This form is available in several versions.
Select the version you need from the drop-down list below.
2020 SSA-827
Select form
  • 2020 SSA-827
  • 2012 SSA-827
  • 2009 SSA-827
  • 2005 SSA-827
Select form