Get Ssa-16-f6 1999-2025

This guide provides detailed instructions on how to complete the SSA-16-F6 form online for disability insurance benefits. We aim to support users through the process, ensuring a clear understanding of each component of the form.

Follow the steps to complete your SSA-16-F6 application online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by filling out Part I, which contains information about the disabled worker. Start by entering your name, including your first name, middle initial, and last name as indicated. If your name at birth is different, provide that as well.
3. Enter your Social Security number in the designated field.
4. Provide your date of birth in the format of month, day, and year. Indicate the State or foreign country where you were born. If applicable, indicate whether a public or religious record of your birth was made before age five.
5. Describe any illnesses, injuries, or conditions that limit your ability to work. Also, specify if they are related to your work.
6. Indicate when you became unable to work due to your conditions and whether you are still unable to work. If you have returned to work, provide the date you became able to work again.
7. Answer whether you, or someone on your behalf, have previously filed an application for Social Security benefits. If 'Yes', provide further details as requested.
8. Complete any military service information if applicable, including dates of service and current benefit eligibility.
9. Indicate whether you have filed for any other public disability benefits and provide details about those benefits if applicable.
10. Provide information regarding your Social Security credits under other country systems if applicable.
11. Complete questions regarding pensions or annuities based on your work, including when they began.
12. List all employers you have worked for in the past two years, noting the dates of employment.
13. Indicate whether the Social Security Administration may contact your employers for information necessary to process your claim.
14. Complete any questions regarding self-employment and earnings.
15. Provide your total earnings from last year and any earnings so far this year, indicating if you expect to receive additional payments.
16. If applicable, complete Part II about marital status and provide information about current or previous marriages.
17. Complete Part III regarding any dependents who may qualify for benefits based on your record.
18. Review your application for accuracy, then sign and date the form. Ensure to provide your contact number and address.
19. Once you have finished filling out the form, you can save changes, download a copy, print it, or share your completed form as needed.

Complete your SSA-16-F6 online application today to ensure your benefits are processed efficiently.