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Sex 4. Social Security Number Date of Marriage month day year Other Name s and Social Security Number s you your spouse/parents used a Your Other Name s including Maiden Name Your Other Social Security Number s b Spouse s/Mother s Other Name s including Maiden Name Spouse s/Mother s Other Social Security Number s c Father s Other Name s FORM SSA-8001-BK 01/2008 Destroy Prior Editions Father s Other Social Security Number s Page 1 10. SOCIAL SECURITY ADMINISTRATION Form Approved OMB No* 0960-0444 Do Not Write in This Space TEL APPLICATION FOR SUPPLEMENTAL SECURITY INCOME I am/We are applying for Supplemental Security Income and any federally administered State supplementation under Title XVI of the Social Security Act for benefits under the other programs administered by the Social Security Administration and where applicable for medical assistance under Title XIX of the Social Security Act. DEFERRED ABAP FS-SSA/APP FS-REFERRED Filing Date Month Day Year Receipt Protective Preferred Lan....

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SSA-8001: Application for Supplemental Security Income (SSI) (Deferred or Abbreviated) The SSA-8001 is an abbreviated version of the SSA-8000: Application for Supplemental Security Income.

How do I fill out Form SSA-821-BK? Personal information about the insured disabled person; Name of wage earner in their family; Type of benefits received; Information about the work activity and earnings; Employment data; Special work conditions (if any); Any special payments and work expenses;

Most people can receive an estimate of their benefit based on their actual Social Security earnings record by going to .socialsecurity.gov/estimator. You also can calculate future retirement benefits by using the Social Security Benefit Calculators at .socialsecurity.gov.

You can request one online by using your my Social Security account, which will allow you to immediately view, print, and save a copy of the letter. You can call us to request one at 1-800-772-1213 (TTY 1-800-325-0778), Monday through Friday from 8:00 a.m. to 7:00 p.m.

A Consent for Release of Information (SSA-3288) must be signed by each individual whose work history will be used to establish the 40 quarters of coverage information. However, a consent form is not needed when requesting information on a deceased individual's Social Security Number.

SSA and its affiliated State disability determination services use Form SSA-827, "Authorization to Disclose Information to the Social Security Administration (SSA)" to obtain medical and other information needed to determine whether or not a claimant is disabled.

Yet another type of Social Security office is the Social Security payment centers, which Social Security refers to as Program Service Centers. These offices, which currently have extremely large backlogs, are responsible for paying people who are due monthly benefits and past-due benefits.

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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