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Form SSA521 (112018) UF Discontinue Prior Editions Social Security AdministrationPage 1 of 2 OMB No. 09600015TOE 420REQUEST FOR WITHDRAWAL OF APPLICATIONDo not write in this spaceIMPORTANT NOTICE.

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If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you. ... Please call us at 1-800-772-1213 (TTY 1-800-325-0778) Monday through Friday between 8 a.m. and 5:30 p.m. or contact your local Social Security office.

Step One: Type of Life-Changing Event. This is the type of life-changing event that happened in your life, and when it occurred. ... Step Two: Reduction in Income. ... Step Three: Modified Adjusted Gross Income. ... Step Four: Documentation. ... Step Five: Signature.

To complete forms, you may need to download and save them on the computer, then open them with the no-cost Adobe Reader. To search and order brochures and forms from the EDD, visit Online Forms and Publications. All are available at no cost, whether you download or order for delivery by mail.

You can do this electronically as part of the online Disability application, or you can print, sign, and send the form to your Social Security office.

Your Social Security card. Tax form(s). Benefit or income statement from Social Security containing the Social Security number. Pending application for an SSN. Letter from the Social Security Administration stating that the applicant is not eligible for an SSN or is only eligible for a non-work SSN.

Sign in to your personal my Social Security account to get your letter. Already have a my Social Security Account? Sign In to your account below and go to Replacement Documents on the right side of the screen, then choose get a Benefit Verification Letter to view, save and print your personalized letter.

You can get a paper Claim for Disability Insurance (DI) Benefits (DE 2501) form by: Ordering a form online to have it mailed to you. ... Calling 1-800-480-3287 to request a paper form by mail.

If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you. ... Please call us at 1-800-772-1213 (TTY 1-800-325-0778) Monday through Friday between 8 a.m. and 5:30 p.m. or contact your local Social Security office.

Sign in to your personal my Social Security account to get your letter. Already have a my Social Security Account? Sign In to your account below and go to Replacement Documents on the right side of the screen, then choose get a Benefit Verification Letter to view, save and print your personalized letter.

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© 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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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