Loading
Form preview
  • US Legal Forms
  • Form Library
  • Independent Agency Forms
  • Independent Agency SSA Forms
  • Ssa Ssa-721 2008

Get Ssa Ssa-721 2008-2026

Mmits a crime and may be sent to prison, or may face other penalties, or both. NAME AND ADDRESS OF FUNERAL DIRECTOR OR FIRM SIGNATURE OF FUNERAL DIRECTOR OR AUTHORIZED REPRESENTATIVE TELEPHONE NUMBER ( ) area code - FOR SOCIAL SECURITY USE ONLY - DO NOT WRITE IN THIS SPACE DO Processed (Date) Form SSA-721 (5-2005) ef (8-2008) Use 1-2004 edition until supply is exhausted DATE A MESSAGE FROM SOCIAL SECURITY Your funeral director is helping the Social Security office by giving you this i.

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 SSA-721 online

The SSA SSA-721 form, known as the Statement of Death by Funeral Director, is crucial for reporting a deceased person's passing to the Social Security Administration. This guide provides clear, step-by-step instructions for filling out this form online to ensure a smooth process for users.

Follow the steps to successfully complete the SSA SSA-721 form.

  1. Click ‘Get Form’ button to access the form and open it in the designated online editor.
  2. Enter the name of the deceased in the provided field, ensuring correct spelling and proper identification of the individual who has passed away.
  3. Fill in the Social Security number of the deceased, which is necessary for the proper processing of the form.
  4. Provide the date of death in the designated section, ensuring the format is correct as requested.
  5. Indicate the gender of the deceased by checking the appropriate box marked 'Male' or 'Female'.
  6. If known, enter the date of birth of the deceased, which helps in verifying their identity.
  7. Provide the name of the widow or widower, if applicable, in the corresponding field.
  8. Fill in the address of the widow or widower where they can be reached, including the city, state, and zip code.
  9. If available, include a telephone number to facilitate communication.
  10. As the funeral director, certify your role by signing the form in the designated area, including your name and the name of your firm.
  11. Submit the complete form by saving the changes and downloading it, ready for printing or sharing as required.

Complete the SSA SSA-721 online for a streamlined experience in filing necessary documents.

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

Statement of Death by Funeral Director - Social...
Form SSA-721 (5-2005) ef (8-2008) Use 1-2004 edition until supply is exhausted. SOCIAL...
Learn more
Supplemental Security Income After Age 18
of your SSI check! When you work, you'll have more money!!! The most SSI you can receive...
Learn more
Social Security number - Wikipedia
As numbers are now assigned by the central issuing office of the SSA, it is unlikely that...
Learn more

Related links form

PA Vaccine Administration Record - Philadelphia 2012 PA VBH POMS QTR 2003 PA Your Resource Guide to Patient Navigation 2008 Penn Medicine Patient Discharge Instructions 2010

Questions & Answers

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

Contact support

Social Security Disability Insurance Monthly benefits reflect the worker's Social Security-taxed earnings.

There is often confusion about Social Security (SSA) and Supplemental Security Income (SSI) because you apply for both programs with the Social Security Administration. But, the programs are different. SSA is an entitlement program and SSI is needs-based.

SOC SEC FOR INS is an abbreviation of Social Security for Insured. By contrast, standard Social Security Income checks are printed with "SSI" on them, and are mailed in blue envelopes.

Form SSA-721 (5-2005) ef (8-2008) A MESSAGE FROM SOCIAL SECURITY. Your funeral director is helping the Social Security office by giving you this information about Social Security benefits. If the deceased was receiving benefits, you need to contact us to report the death.

A Death Statement contains the decedent's name, county, and date of death.

In most cases, the funeral home will report the person's death to us. You should give the funeral home the deceased person's Social Security number if you want them to make the report. If you need to report a death or apply for benefits, call 1-800-772-1213 (TTY 1-800-325-0778).

What Is the Social Security Administration (SSA)? The Social Security Administration (SSA) is a U.S. government agency that administers social programs covering disability, retirement, and survivors' benefits.

Key Takeaways. Social Security benefits provide partial replacement income for qualified retirees and disabled individuals, as well as for their spouses, children, and survivors. An individual must pay into the Social Security program during their working years and accrue 40 credits in order to qualify for benefits.

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.

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 SSA-721
Get form
  • 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
  • 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
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
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
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • 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
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program