Get SSA-754-F4 2012-2021

collects the information when a surviving widow(er) is not already entitled to a monthly benefit on the same earnings records, or is not filing for a lump-sum death payment as a former spouse. SSA uses the information Form SSA-1724 provides to ensure proper payment of an underpayment due a deceased beneficiary.

Name. Social security number. Name of person making statement. Relationship to wage earner, self-employed person, or SSI claimant. Certified statement that is for the Social Security Administration. Signature of person making statement. Date.

Name of deceased. Social security number of deceased. Name of worker. Death date and state of residence of deceased. Name of applicant. Relationship to deceased. Next of kin or legal representative of deceased. ... Signature of applicant.

Calling 1-800-772-1213 (TTY 1-800-325-0778), Monday through Friday from 7 a.m. to 7 p.m.; or. Contacting your local Social Security office.

Name of deceased. Social security number of deceased. Name of worker. Death date and state of residence of deceased. Name of applicant. Relationship to deceased. Next of kin or legal representative of deceased. ... Signature of applicant.

Individuals use Form SSA-795 to make signed statements relating to claims for Social Security benefits or Supplemental Security Income (SSI) payments under 20 CFR 404.702 and 416.570 of the Code of Federal Regulations.

The Social Security Statement, Form SSA-7005-SM Section 1143 of the Social Security Act specifies the personal information that SSA must include on the form. NOTE: The Social Security Statement has no approved acronym.

A Social Security 1099 or 1042S Benefit Statement, also called an SSA-1099 or SSA-1042S, is a tax form that shows the total amount of benefits you received from Social Security in the previous year.

Where should the Form SSA-1724-F4 be sent? The completed form should be sent to the local Social Security Office. If any questions arise, the applicant should call 1-800-772-1213.

collects the information when a surviving widow(er) is not already entitled to a monthly benefit on the same earnings records, or is not filing for a lump-sum death payment as a former spouse. SSA uses the information Form SSA-1724 provides to ensure proper payment of an underpayment due a deceased beneficiary.