Get Ssa-821-bk 2012

Filling out the SSA-821-BK form is an essential step for those seeking to provide vital information about their work activity to the Social Security Administration. This guide will walk you through each section of the form, ensuring that you complete it accurately and efficiently.

Follow the steps to fill out the SSA-821-BK form online.

1. Click ‘Get Form’ button to access the SSA-821-BK form and open it in the editor.
2. Begin with the Identification section where you will enter your name, social security number, and claim number. Make sure all information is correct and matches your records.
3. In the employer information section, list all employers since the specified date. Provide detailed answers, including job title, type of work, dates employed, rate of pay, and hours worked per week.
4. For each type of income received during the specified period, complete the relevant areas, including any types of payment like back pay, sick pay, or disability pay. Be sure to include the name and address of the payer.
5. Review questions about any special working conditions or changes in work activity that may have affected your employment status since the specified date.
6. If applicable, answer questions regarding any expenses incurred related to your physical or mental condition that helped you work, providing detailed descriptions and costs.
7. Use the remarks section provided for any additional information that could help clarify your employment situation.
8. Finally, ensure you sign and date the form at the bottom. If applicable, have two witnesses sign if you are unable to sign yourself.
9. Once completed, review all sections for accuracy. You can then save changes, download, print, or share your form as needed.

Complete your SSA-821-BK form online today to ensure your benefits are accurately assessed.