Get SSA-1695-F3 2010

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.

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.

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.

Form SSA-1696 is used by the Social Security Administration (SSA) to document your appointment of a representative in your dealings with the SSA. The form will contain your representative's name, address, and phone number, as well as yours, and is valid only when signed by you or your parent or legal guardian.

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.

If you mail any documents to us, you must include the Social Security number so that we can match them with the correct application. Do not write anything on the original documents. Please write the Social Security number on a separate sheet of paper and include it in the mailing envelope along with the documents.

There are three forms important to representatives. ... Form SSA-1695, Identifying Information for Possible Direct Payment of Authorized Fees. To receive direct payment, representatives must also provide completed Forms SSA-1695 each time they're appointed to represent claimants.

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.

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.

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).