Get Ssa-16-bk 2015

The SSA-16-BK form is an application for disability insurance benefits offered by the Social Security Administration. This guide provides clear, step-by-step instructions to assist users in completing the form accurately online.

Follow the steps to successfully complete the SSA-16-BK form.

1. Click ‘Get Form’ button to acquire the form and open it in the online editor.
2. Begin by printing your name in the designated fields: first name, middle initial, and last name.
3. Enter your Social Security Number in the provided field.
4. Indicate your gender by selecting either 'Female' or 'Male'.
5. Answer whether a public record of your birth was made before you were age 5, choosing 'Yes', 'No', or 'Unknown'.
6. Respond to the question about a religious record of your birth with 'Yes', 'No', or 'Unknown'.
7. If English is not your preferred language, fill in the language you prefer to speak and write.
8. Provide your date of birth and the name of the city and state or foreign country where you were born.
9. Indicate your citizenship status by answering whether you are a U.S. citizen or a lawfully present alien.
10. If your name at birth differs from the name you provided, enter it here. Also mention any other names you have used.
11. State whether you have used any other Social Security number(s). If yes, provide those numbers.
12. Explain when you believe your disability condition became severe enough to prevent you from working.
13. If applicable, answer whether you or someone on your behalf has filed any prior applications for Social Security benefits.
14. Provide information about your military service, if applicable, including dates of service.
15. Answer questions regarding any social security credits you may have under another country's system.
16. Fill out details about your marital status and provide information about your spouse or prior spouses as required.
17. List any children or dependent grandchildren who may be eligible for benefits based on your earnings record.
18. Provide the names and addresses of employers from the last two years.
19. Indicate whether the Social Security Administration can contact your employers for necessary claims processing.
20. Declare if you have ever been self-employed and the nature of that work.
21. Confirm whether you are still unable to work due to your conditions.
22. Answer if your conditions are related to your work or if you have filed or plan to file for other public disability benefits.
23. Complete the declaration section confirming the accuracy of your information, date, and your signature.
24. Finally, review all information, save your changes, and proceed to download, print, or share the completed form as needed.

Complete your SSA-16-BK application online today for timely processing.