Get Form Ssa-16 (03-2017) Uf - Ssa

Filling out the Form SSA-16, an application for disability insurance benefits, is a crucial step for individuals seeking assistance. This guide provides clear instructions on how to complete the form online, ensuring that you provide all necessary information accurately and effectively.

Follow the steps to successfully complete your SSA-16 application.

1. Press the ‘Get Form’ button to access the SSA-16 form and open it in your online editor.
2. Begin by providing your full name, including your first name, middle initial, and last name in the designated fields.
3. Enter your Social Security Number in the specified section.
4. Indicate your gender by checking the appropriate box.
5. If English is not your preferred language, specify your preferred language for both speaking and writing.
6. Fill in your date of birth along with the location of your birth, including city and state or foreign country details.
7. Answer questions regarding the existence of public or religious birth records before you turned five.
8. Indicate your citizenship status and provide details if you are an alien lawfully present in the U.S.
9. If applicable, provide your name at birth and any other names you have used.
10. Describe any other Social Security numbers you have used in the past, if any.
11. State when you believe your condition became severe enough to prevent you from working.
12. Answer questions related to any previous applications for Social Security benefits.
13. Provide information regarding any military service you have had.
14. Answer questions regarding any work in the railroad industry or other countries' Social Security systems.
15. Indicate your entitlement to any pensions or annuities not covered by Social Security.
16. Fill in marital information, including details of current and previous marriages as necessary.
17. List the names and details of any dependent children who may qualify for benefits.
18. Provide a summary of your employment history for the past two years, including employer details.
19. Indicate whether the Social Security Administration may contact your employers regarding your claim.
20. Complete information regarding any self-employment and net earnings.
21. Answer questions about your current ability to work due to your disabilities.
22. Provide details on any other public disability benefits you may have already applied for.
23. Fill out any necessary remarks and provide your signature and contact information.
24. After completing the form, save your changes, and utilize the options to download, print, or share your completed application.

Start filling out your SSA-16 form online today to ensure your application is processed promptly.