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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. 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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