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Form SSA-545-BK 08-2017 Discontinue Prior Editions Social Security Administration PLAN TO ACHIEVE SELF-SUPPORT PASS Name Page 1 of 12 OMB No. 0960-0559 Date Received SSN PART A YOUR WORK GOAL A. 1. What is your work goal Show the job you expect to have at the end of the plan* Be specific A. 2. Will you be self-employed If yes attach a copy of your business plan or contact your PASS Cadre. Yes No A. 3. Do you have a job coach you pay with your own money A. 4. If yes will this plan reduce the number of hours you pay the job coach A. 5. Describe the duties you expect to perform in this job Be specific about the tasks you will perform A. 6. Does your work require a special certificate or license for example a drivers license or a Realtor or Cosmetologist license A. 7. How did you decide on this work goal and what makes this type of work attractive to you A. 8. How much money do you expect to earn before any deductions Monthly A. 9. Have you previously been approved for a PASS Skip to B1 A.....

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How to fill out the SSA-545-BK online

Filling out the SSA-545-BK form can seem daunting, but with the right guidance, you can navigate it smoothly. This comprehensive guide will help you understand each section of the form and provide step-by-step instructions to facilitate your online submission.

Follow the steps to complete the SSA-545-BK form effectively.

  1. Click ‘Get Form’ button to obtain the SSA-545-BK form and open it in your preferred online editor.
  2. In Part A, begin by detailing your work goal in A.1. Be specific about the job you intend to pursue.
  3. Indicate whether you will be self-employed in A.2 and provide a business plan if applicable.
  4. Answer A.3 regarding whether you are paying for a job coach. If yes, consider how this plan may affect your coaching hours in A.4.
  5. Describe the tasks you will perform in your desired job in A.5, followed by any special certifications or licenses needed in A.6.
  6. Explain your motivation for the work goal in A.7 and provide your expected monthly earnings in A.8.
  7. In A.9, indicate whether you have been approved for a PASS previously, and if so, provide details in A.10.
  8. Move to Part B and list any medical or vocational conditions affecting your work in B.1 and describe any limitations in B.2.
  9. Outline how you plan to address these limitations in B.3 and list your work history in B.4.
  10. Complete education history in B.5 and detail any special training completed in B.6.
  11. For any additional education needed, explain in B.7 and provide details of any vocational organizations you have worked with in B.8.
  12. In Part C, describe the specific steps you will take to achieve your work goal, with timelines included.
  13. In Part D, list necessary expenses for your plan, ensuring specificity in items or services needed for your work goal.
  14. Indicate if any organization will assist with expenses in D.2.
  15. Proceed to Part E, outlining any personal items that will aid your goal and how you plan to manage your funding in E.2.
  16. In Part F, detail your current living expenses and ensure all categories are filled out precisely.
  17. Provide information on anyone who assisted in preparing the plan in Part G.
  18. Use Part H for any additional remarks and ensure authorization is provided in Part I for SSA contacts.
  19. Review all sections for accuracy and completeness before saving your changes.
  20. Once all parts are completed, you can save changes, download, print, or share the form as needed.

Start your journey towards self-support by completing the SSA-545-BK online today.

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Please go to www.socialsecurity.gov. Then look in the left column under Top Services, open the Services for people currently receiving benefits section, and select Request a Proof of Income letter to get a letter that verifies your Social Security benefit information.

Social Security officially the Old-Age, Survivors, and Disability Insurance (OASDI) Program in the United States is a comprehensive federal benefits program designed to provide partial replacement income for older workers and their spouses, those whose spouse or qualifying ex-spouse have died, and the disabled.

The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security disability insurance program (title II of the Social Security Act (Act)) and the Supplemental Security Income (SSI) program (title XVI of the Act).

In general, the income limit for SSI is the federal benefit rate (FBR), which is $783 per month for an individual and $1,175 per month for a couple in 2020. Remember, though, that not all income is countable, and so you can earn more than $783 per month and still qualify for SSI (more on this below).

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) is an independent agency of the U.S. federal government. It administers Social Security benefits, which is a social insurance program that includes disability, survivors, and retirement benefits.

An IRWE is a necessary out-of-pocket expense that enables the person to go to work. IRWEs must be related to the person's disability. Common examples include medication co-pays, special equipment, and special transportation.

A PASS is a written plan of action for getting a particular kind of job or starting a business. In it you identify: ... the money you will use to pay for these things (this may be any income (other than SSI payments) or assets, such as Social Security benefits, wages from a current job, or savings); and.

PASS lets a disabled individual set aside money and things he or she owns to pay for items or services needed to achieve a specific work goal. The objective of the PASS is to help disabled individuals find employment that reduces or eliminates SSI or SSDI benefits.

WHAT IS SSI? SSI stands for Supplemental Security Income. Social Security administers this program. We pay monthly benefits to people with limited income and resources who are disabled, blind, or age 65 or older.

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