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  • Ssa-371 2013

Get Ssa-371 2013-2025

1. Signature of Witness Form SSA-371 09-2009 OVER THIS INFORMATION IS ONLY NEEDED IF YOUR PROVISIONAL BENEFITS WILL BE SENT TO YOUR PRIOR REPRESENTATIVE PAYEE REPRESENTATIVE PAYEE Write in ink Your Title or Relationship to the Claimant Reached During the Day Your full name First name middle initial last name Please print here Signature Please sign here Collection and Use of Information from Your Reinstatement Request Privacy Act Notice The Social Security Administration is authorized to collect the information on this form under section 202 b 202 c 202 d 202 e 202 f 205 a 223 and 1872 of the Social Security Act as amended 42 U.S.C. Form Approved OMB No* 0960-0742 SOCIAL SECURITY ADMINISTRATION Request for Reinstatement - Title II Claimant s Name Claim Number Wage Earner s Name I request reinstatement of my Social Security Disability Benefits. I am disabled and my impairment is the same as or related to the impairment which was the basis for my prior entitlement. I am not performing sub....

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How to fill out the SSA-371 online

The SSA-371 form is essential for individuals seeking to request the reinstatement of their Social Security Disability Benefits. This guide will provide clear and supportive instructions for completing the form online, ensuring users understand each section's purpose and requirements.

Follow the steps to successfully complete the SSA-371.

  1. Press the ‘Get Form’ button to access the SSA-371 and open it in your digital editor.
  2. Begin by entering your name in the 'Claimant's Name' section. Ensure that the name matches the one on your Social Security records.
  3. Fill in your claim number, which can be found on previous correspondence from the Social Security Administration or on your Social Security card.
  4. Next, provide the name of the wage earner related to your claim in the 'Wage Earner's Name' field. This is crucial for linking your request to the correct records.
  5. In the main body of the form, articulate your request for reinstatement clearly. State that you are disabled and provide details related to your impairment, confirming it is the same as the basis for your prior entitlement.
  6. Indicate that you are not engaging in substantial gainful activity (SGA), explaining how your current medical condition prevents you from doing so.
  7. Acknowledge the possibility of receiving provisional benefits during the decision-making process, ensuring you understand the implications of this request.
  8. If applicable, read the sections regarding Medicare coverage and other SSA benefits carefully, noting that a denial of reinstatement may affect your current entitlements.
  9. Sign the form in the 'Signature' field and indicate the date of your signature. Ensure the signature is clear and legible.
  10. Provide your area code and telephone number, along with your home address, city, state, and ZIP code. This information will facilitate communication regarding your request.
  11. If applicable, include witness signatures in the designated area, only if you have signed your name with a mark. Collect full addresses from the witnesses.
  12. If a representative payee will receive your provisional benefits, complete the relevant section with their information, including their title or relationship to you.
  13. Review all information provided for accuracy and completeness before proceeding. Once satisfied, you can save your changes, download or print the form, or share it as necessary.

Complete and submit your SSA-371 online to ensure timely processing of your reinstatement request.

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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.

Federal Bureau of Investigation (FBI) Supervisory Special Agent Salaries. Very High.

We base Social Security benefits on your lifetime earnings. We adjust or index your actual earnings to account for changes in average wages since the year the earnings were received. Then, Social Security calculates your average indexed monthly earnings during the 35 years in which you earned the most.

The SSA requires minimal objective medical evidence for some CAL conditions and will sometimes grant approval based on a diagnosis alone. This makes it easier to approve these claims quickly, sometimes in as little as ten days.

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.

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).

Expedited reinstatement (EXR) lets you restart your benefits without having to file a new application. This means that your benefits can start much faster than if you had to start the process over again. Here's when expedited reinstatement applies: SSDI.

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 ...

Many individuals are eligible for benefits under both the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) programs at the same time. We use the term concurrent when individuals are eligible for benefits under both programs.

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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
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