Loading
Form preview
  • US Legal Forms
  • Form Library
  • Independent Agency Forms
  • Independent Agency SSA Forms
  • Ssa-16-bk 2006

Get Ssa-16-bk 2006

A pension or annuity based on your work after 1956 not covered by Social Security? (b) I became entitled, or expect to become entitled, beginning (c) I became eligible, or expect to become eligible, beginning Yes (If "Yes," answer (b) and (c).) No (If "No," go on to item 16.) MONTH YEAR MONTH YEAR I AGREE TO PROMPTLY NOTIFY the Social Security Administration if I become entitled to a pension or annuity based on my employment after 1956 not covered by Social Security, or if such pension.

This website is not affiliated with any governmental entity

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the SSA-16-BK online

Filling out the SSA-16-BK form is an essential step for individuals applying for disability insurance benefits. This guide provides clear and concise instructions to help users navigate the online application process effectively.

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

  1. Click ‘Get Form’ button to obtain the SSA-16-BK form and open it in the online editor.
  2. Begin by entering your full name as listed on your Social Security record. Ensure that you provide your first name, middle initial, and last name accurately.
  3. Provide your Social Security number and gender by checking the appropriate box.
  4. Indicate if you would like a password for accessing the Social Security Administration's online services, selecting either 'Yes' or 'No'.
  5. State your preferred language for communication, including both speaking and writing, if English is not your first language.
  6. Enter your date of birth, state or country of birth, and answer questions regarding birth records, including public or religious documentation.
  7. Confirm your citizenship status by providing the relevant information pertaining to your U.S. citizenship or lawful alien status.
  8. If applicable, give your name at birth if it differs from your current name, and note any other names you have used.
  9. Specify the date you became unable to work due to your disability, injuries, or medical conditions.
  10. Answer questions related to any previous applications for Social Security benefits and provide requested details.
  11. If you have served in the military, provide the details of your service, including dates and any eligibility for military benefits.
  12. List all employment information, including employers from the last two years, and confirm whether you had any self-employment income.
  13. Detail your illnesses, injuries, or conditions that limit your ability to work, and confirm whether these are ongoing.
  14. Fill in personal details requested for any dependents who may be eligible for benefits based on your earnings.
  15. Review all entered information carefully for accuracy before saving your changes.
  16. Once completed, you can save, download, print, or share the SSA-16-BK form as needed.

Start filling out your SSA-16-BK form online today to ensure you can access the disability benefits you may need.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

Application for Disability Insurance Benefits...
Form SSA-16 (06-2018) UF. Discontinue prior editions. Social Security Administration...
Learn more
SSI & the Age-18 Redetermination 9-16-14
in 1996 required that all Supplemental Security Income (SSI) recipients who turn...
Learn more

Related links form

HUD-935.2A 2006 HUD-9539 2017 HUD-9539 2010 HUD-9807 2012

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get SSA-16-BK
  • 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
  • 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
  • Legal Hub
  • 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
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
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
  • Legal Hub
  • 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
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program
SSA-16-BK
This form is available in several versions.
Select the version you need from the drop-down list below.
2018 SSA-16-BK
Select form
  • 2018 SSA-16-BK
  • 2015 SSA-16-BK
  • 2014 SSA-16-BK
  • 2010 SSA-16-BK
  • 2006 SSA-16-BK
Select form