Form preview picture

Get SSA-1-BK 2019-2023

SEND OR BRING THE COMPLETED FORM TO YOUR LOCAL SOCIAL SECURITY OFFICE. You can find your local Social Security office through SSA s website at www. socialsecurity. gov. Offices are also listed under U. S. Government agencies in your telephone directory or you may call Social Security at 1-800-772-1213 TTY 1-800-325-0778. Form SSA-1-BK 06-2018 UF Discontinue Prior Editions Social Security Administration Page 1 of 9 OMB No. 0960-0618 TEL APPLICATION FOR RETIREMENT INSURANCE BENEFITS Do not write in this space I apply for all insurance benefits for which I am eligible under Title II Federal Old-Age Survivors and Disability Insurance and Part A of Title XVIII Health Insurance for the Aged and Disabled of the Social Security Act as presently amended. Supplement. Socialsecurity. gov. Offices are also listed under U. S. Government agencies in your telephone directory or you may call Social Security at 1-800-772-1213 TTY 1-800-325-0778. You may send comments on our time estimate above to SSA 6401 Security Blvd Baltimore MD 21235-6401. Send only comments relating to our time estimate to this address not the completed form. CHANGES TO BE REPORTED AND HOW TO REPORT Failure to report may result in overpayments that must be repaid and in possible monetary penalties You change your mailing address for checks or residence. If you have already completed an application entitled APPLICATION FOR WIFE S OR HUSBAND S INSURANCE BENEFITS you need complete only the circled items. All other claimants must complete the entire form* a PRINT your name FIRST NAME MIDDLE INITIAL LAST NAME b Check X whether you are Male Female Enter your Social Security number Answer question 3 if English is not your language preference. Otherwise go to item 4. Enter the language you prefer to Speak a Enter your date of birth Write Month Day Year b Enter name of city and state or foreign country where you were born* c Was a public record of your birth made before you were age 5 Yes No Unknown d Was a religious record of your birth made before you were age 5 a Are you a U*S* citizen b Are you an alien lawfully present in U*S* Go to item 7. c When were you lawfully admitted to the U*S* Enter your full name at birth if different from item 1 a a Have you used any other name s b Other names s used* b Enter Social Security number s used* Over Do not answer question 9 if you are one year past full retirement age or older go to question 10. a Are you or during the past 14 months have you been unable to work because of illnesses injuries or conditions b If Yes enter the date you became unable to work. 10. a Have you or has someone on your behalf ever filed an application for Social Security Supplemental Security Income or hospital or medical insurance under Medicare b Enter name of person s on whose Social Security record you filed other application* MONTH DAY YEAR If No go If Yes to item 11. answer b and c. If unknown so indicate. If Yes answer 11. a Were you in the active military or naval service including Reserve or National Guard active duty or active duty for training after September 7 1939 and before 1968 b Enter date s of service From To c Have you ever been or will you be eligible for monthly benefits from a military or civilian Federal agency Include Veterans Administration benefits only if you waived Military retirement pay.

How It Works

social security retirement application form rating
30 votes

How to fill out and sign ssa application retirement online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Tax, legal, business as well as other documents require a high level of protection and compliance with the law. Our documents are regularly updated in accordance with the latest legislative changes. Additionally, with our service, all of the info you include in the SSA-1-BK is well-protected against leakage or damage with the help of cutting-edge encryption.

The tips below will allow you to fill out SSA-1-BK easily and quickly:

  1. Open the document in our feature-rich online editor by hitting Get form.
  2. Fill in the necessary boxes that are colored in yellow.
  3. Hit the arrow with the inscription Next to jump from box to box.
  4. Use the e-signature solution to put an electronic signature on the template.
  5. Add the date.
  6. Look through the entire e-document to make sure you haven?t skipped anything important.
  7. Click Done and save the resulting template.

Our solution allows you to take the entire procedure of completing legal forms online. Due to this, you save hours (if not days or even weeks) and eliminate unnecessary expenses. From now on, complete SSA-1-BK from your home, business office, as well as on the move.

Get form

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

Video instructions and help with filling out and completing social security retirement forms printable

Use unique fillable areas for preparing Form in your browser. Use expert-built web templates and video instructions that walk you through the whole procedure from start to finish.

Social security retirement application pdf FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to form ssa 1

  • ssa 561 appeal form
  • social security retirement forms
  • social security form ssa 1
  • ssa 821
  • 1 social security
  • social security retirement application online
  • ssa retirement survivors and disability insurance
  • how to ssa1
  • social security retirement form application pdf
  • social security retirement benefits application form
  • social security retirement benefits application online
  • form ssa 1 bk
  • ssa retirement application form
  • 2017 ssa bk
  • ssa application retirement online
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.