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  • Ssa-7161-ocr-sm 2004

Get Ssa-7161-ocr-sm 2004-2025

Death Marriage Divorce Annulment (a) Name of parent 6. If you answered “Yes” to question 6 on the other side, complete the information below. (b) Check one Employee (a) Name of person (d) If ended, enter date work stopped Yes No SelfEmployed (c) Date work began (e) List each month that he/she worked 45 hours or less (Explain in Remarks) (f) Was this work done in the United States or did he/she pay United States Social Security taxes on earnings from this work? 7. (e) Date reside.

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How to fill out the SSA-7161-OCR-SM online

This guide provides a comprehensive overview of how to complete the SSA-7161-OCR-SM form online. It is designed to assist individuals receiving benefits for a child or an adult who cannot manage funds, ensuring all necessary information is accurately reported.

Follow the steps to fill out the form effectively.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by providing your address in the designated field if it differs from the one below it. Ensure you also enter your contact telephone number for communication purposes.
  3. Carefully read questions 3 through 8. If you answered 'Yes' to any question, flip the form to complete the relevant sections on the back. If all answers are 'No', proceed directly to item 11.
  4. For question 3, indicate whether any beneficiary has changed their citizenship or residence in the past 15 months and mark 'Yes' or 'No' accordingly.
  5. Question 4 inquires about changes in marital status for beneficiaries. Answer by marking 'Yes' or 'No.' If 'Yes', provide details on the back of the form.
  6. Question 5 asks if any parent of a child beneficiary has experienced changes in marital status. As with previous questions, answer plainly and provide details if necessary.
  7. Questions 6 to 8 involve information about employment or living arrangements for beneficiaries. Refer to each question, responding accurately, and fill out additional details on the back if required.
  8. Conclude by confirming whether all received benefits were used for the beneficiary. If 'No', clarify in the 'Remarks' section.
  9. Ensure to review and sign the form in item 11. If necessary, have a witness sign and provide their address.
  10. Finally, save your changes, then download, print, or share the completed form as needed.

Complete the SSA-7161-OCR-SM form online today to ensure timely processing of benefits.

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Form SSA-7161-OCR-SM (03-2004).pmd
REPORT TO UNITED STATES SOCIAL SECURITY ADMINISTRATION. BY PERSON RECEIVING BENEFITS FOR A...
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Form. SSA-7161-OCR-SM. Report to United States Social Security Administration by Person Receiving Benefits for a Child or Adult Unable to Handle Funds.

The SSA-7162 is sometimes informally called the "proof of life" form however, the form itself is simply titled "Report to the US Social Security Administration" (see: https://cr.usembassy.gov/wp-content/uploads/sites/248/ssa-7162-REVISED.pdf).

The SSA-11-BK is the paper form a potential payee completes to apply to be payee. Use the paper form only, when it is not possible to use eRPS. For example, we must take paper applications for applicants who do not have a Social Security Number (SSN).

You may send comments on our time estimate above to: SSA 5401 Security Blvd, Baltimore, MD 21235-6401 USA.

OMB No. 0960-0049. REPORT TO THE UNITED STATES SOCIAL SECURITY ADMINISTRATION BY PERSON RECEIVING BENEFITS FOR A CHILD OR FOR AN ADULT UNABLE TO HANDLE FUNDS IMPORTANT: FAILURE TO COMPLETE AND RETURN THIS FORM WITHIN 60 DAYS WILL RESULT IN A SUSPENSION OF BENEFITS. SIGN AND RETURN THIS FORM IN THE ENCLOSED ENVELOPE.

Submit Form SSA-7162 to: Social Security Administration, P.O. Box 7162, Wilkes-Barre, PA 18767-7162.

The SSA-7162 is sometimes informally called the "proof of life" form however, the form itself is simply titled "Report to the US Social Security Administration" (see: https://cr.usembassy.gov/wp-content/uploads/sites/248/ssa-7162-REVISED.pdf).

Please call us at 1-800-772-1213 (TTY 1-800-325-0778) Monday through Friday between 8 a.m. and 5:30 p.m. or contact your local Social Security office.

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© 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
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
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