We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • Independent Agency Forms
  • Independent Agency SSA Forms
  • Ssa-4-bk 2014

Get Ssa-4-bk 2014

," enter the following information): Name of Child Date of Adoption Are all the children in item 3 now living in the same household with you? (If "No," enter the following information about each child not living with you. If uncertain as to the whereabouts of any of these children, explain in "Remarks".) Name of Child Not Living With You 9. Yes No Yes No Name of Person Adopting Yes No Person With Whom Child Now Lives Name and Address Relationship to Child Has any child in item 3 ever .

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-4-BK online

The SSA-4-BK form is used to apply for child’s insurance benefits under the Social Security Act. This guide provides clear, step-by-step instructions for filling out the form online, ensuring that you understand the requirements and details needed for a successful application.

Follow the steps to accurately complete the SSA-4-BK form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the name of the worker for whom you are filing in the corresponding field. Add their social security number as well.
  3. Provide your name as the applicant and your social security number if you are not the worker.
  4. In Part 1, list all of the children eligible for benefits, indicating their relationship to the worker, date of birth, and whether they are legitimate, adopted, or stepchildren.
  5. Include the social security number of each child listed, and specify if any child is disabled, a student, or under age restrictions.
  6. Answer questions about legal representatives, if applicable, and explain any circumstances that led to their appointment.
  7. Indicate if the children listed have ever been adopted by someone other than the worker.
  8. Check if all listed children currently live with you; if not, provide information about those who do not.
  9. Answer questions pertaining to the earnings of the listed children from the previous and expected year.
  10. If applicable, complete the information regarding the deceased worker in Part II, including their date of birth and death.
  11. Finalize your application by providing your signature, contact information, and any necessary details regarding direct deposit.
  12. After reviewing all provided information for accuracy, save your changes, download, print, or share the completed form as needed.

Complete your SSA-4-BK application online today to ensure benefits for your child.

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 Child's Insurance Benefits...
Form SSA-4-BK (01-2017) UF. Discontinue Prior Editions. Social Security Administration...
Learn more
EFW2 - Social Security
The employee tax rate for Social Security will be withheld at 4.2 percent (up to ... iv...
Learn more
Cooper Lighting by Eaton offers a full line of...
SSA Square Straight. A. Aluminum ... Outlet is located 4' above base and on same side of...
Learn more

Related links form

ECFMG Form 172 2020 Colonia Life Form 69121 2020 1199SEIU Pension Funds Form APF1 2020 AISD Off-Campus PE Packet 2020

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Name of the number holder. Social security number. Name of the person(s) for whom you are filing (claimant) Claimant's social security number. Indication if you are the claimant and what your benefits paid directly to you.

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.

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.

An SSA-1099 is a tax form we mail each year in January to people who receive Social Security benefits. It shows the total amount of benefits you received from Social Security in the previous year so you know how much Social Security income to report to IRS on your tax return.

Most SSDI recipients receive between $800 and $1,800 per month (the average for 2020 is $1,258). However, if you are receiving disability payments from other sources, as discussed below, your payment may be reduced.

The form SSA-1724 is to claim an underpayment due the deceased person. If all required supporting evidence (if any) was submitted with the form, you should allow 6 8 weeks for processing. However, in most cases, it really doesn't take that long. If you haven't heard anything within 6 weeks, call 800 772 1213.

The main difference between Social Security Disability (SSDI) and Supplemental Security Income (SSI) is the fact that SSDI is available to workers who have accumulated a sufficient number of work credits, while SSI disability benefits are available to low-income individuals who have either never worked or who haven't ...

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.

In 2020, if you're under full retirement age, the annual earnings limit is $18,240. If you will reach full retirement age in 2020, the limit on your earnings for the months before full retirement age is $48,600.

APPLICATION FOR CHILD'S INSURANCE BENEFITS With this application, you are applying on behalf of the child or children listed in item 3 below for all insurance benefits for which they may be eligible under Title II (Federal Old-Age, Survivors and Disability Insurance) of the Social Security Act as presently amended.

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-4-BK
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
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
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
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
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
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
SSA-4-BK
This form is available in several versions.
Select the version you need from the drop-down list below.
2017 SSA-4-BK
Select form
  • 2017 SSA-4-BK
  • 2014 SSA-4-BK
  • 2010 SSA-4-BK
Select form