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Form SSA753 (032018) UF Discontinue Prior Editions SOCIAL SECURITY ADMINISTRATIONPage 1 of 3 OMB No. 09600017STATEMENT REGARDING MARRIAGE All questions must be answered or marked "Unknown.".

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How to fill out the APPLICATION FOR SUPPLEMENTAL SECURITY INCOME (SSI) online

Completing the Application for Supplemental Security Income (SSI) can seem daunting, but with the right guidance, you can navigate the process smoothly. This guide will offer step-by-step instructions to help you fill out the form online efficiently.

Follow the steps to effectively complete your application.

  1. Click ‘Get Form’ button to obtain the form and access it for completion.
  2. Enter the Social Security number and name of the worker. This is the individual whose earnings are being considered for benefits.
  3. Provide the name of the applicant. This is the person making the application for benefits based on the worker’s earnings.
  4. State your relationship to the worker and to the applicant. Be clear and specify 'None' if there is no relationship.
  5. Indicate how long you have known both the worker and the applicant. This information is important for establishing credibility.
  6. Describe how often and under what circumstances you have met with the worker and applicant. Provide specific details as needed.
  7. Answer whether the worker and applicant were known as a married couple. Include your justification based on your knowledge.
  8. Respond to whether you heard the worker and applicant refer to each other as spouses, specifying 'Yes' or 'No' and providing context.
  9. Evaluate if the couple maintained a home together and where this was located, providing the city and state for clarity.
  10. Confirm whether they lived together continuously. If not, please explain the circumstances.
  11. Address if either party has entered into any other marriage, providing necessary details if applicable.
  12. Utilize the 'Remarks' section for any additional notes or explanations regarding your answers.
  13. Sign the statement, meanwhile ensuring to include your name, date, and contact information as required.
  14. If signing by mark, include the signatures of two witnesses and their addresses.
  15. Upon completion, you may have options to save changes, download, print, or share the completed form.

Ensure your application is submitted accurately by following these steps and completing your documents online.

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Unlike Social Security benefits, SSI benefits are not based on your prior work or a family member's prior work. SSI is financed by general funds of the U.S. Treasury--personal income taxes, corporate and other taxes.

A Form SSA 795 is known as a Statement of Claimant or Other Person. It will be received and recorded by the Social Security Administration in the United States. The form will be used by a third party to make a statement about the applicant's employment or wages.

You can apply for SSI benefits by: Calling us at 1-800-772-1213 (or TTY 1-800-325-0778 if you are deaf or hard of hearing) and making an appointment to apply for SSI. If you are deaf or hard of hearing, we also will take your telecommunications relay services (TRS) assisted calls at 1-800-772-1213.

In general, the income limit for SSI is the federal benefit rate (FBR), which is $794 per month for an individual and $1,191 per month for a couple in 2021. Remember, though, that not all income is countable, and so you can earn more than $794 per month and still qualify for SSI (more on this below).

Your Social Security card or a record of your number. Your original birth certificate, a copy certified by the issuing agency, or other proof of your age. ... If you were not born in the U.S., proof of U.S. citizenship or lawful alien status. ... A copy of your U.S. military service paper(s) if you served before 1968.

Supplemental Security Income (SSI) is a federal program that provides monthly payments to people who have limited income and few resources. SSI is for people who are 65 or older, as well as for those of any age, including children, who are blind or who have disabilities.

Documents we may ask for include: Your Social Security card or a record of your number. Your original birth certificate, a copy certified by the issuing agency, or other proof of your age. We must see the original document(s), or copies certified by the agency that issued them.

Application. By calling Social Security at 1-800-772-1213 or 1-800-325-0778 (TTY) to make an appointment to apply either: Over the phone. In person at your local Social Security office.

Apply By Phone Call us to make an appointment to file your application at 1-800-772-1213. If you are deaf or hard of hearing, you can call us at TTY 1-800-325-0778.

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