We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • Independent Agency Forms
  • Independent Agency SSA Forms
  • Ssa-7163 2014

Get Ssa-7163 2014

GS $ $ $ $ $ $ $ $ $ 6. If you are now self-employed, show how much you expect your net earnings to be for the current year. $ REMARKS: (This space may be used for explaining any answers to the questions. If you need more space, attach a separate sheet.) ALWAYS COMPLETE THIS PORTION I know that anyone who makes or causes to be made a false statement or representation of material fact in an application or for use in determining a right to payment under the Social Security Act commits a.

This website is not affiliated with any governmental entity

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the SSA-7163 online

The SSA-7163 form, also known as the questionnaire about employment or self-employment outside the United States, is essential for providing accurate information about your work situation for Social Security benefits. This guide will walk you through the steps to complete the form online with clarity and confidence.

Follow the steps to accurately fill out the SSA-7163 form.

  1. Click 'Get Form' button to obtain the SSA-7163 form and open it within the editor.
  2. Begin by filling in the name of the worker on whose account benefits are being paid, followed by the worker's Social Security claim number.
  3. In the next section, provide the name of the employed or self-employed beneficiary along with their Social Security number if it differs from the worker's.
  4. Describe your employment or self-employment outside the United States by entering the employer's name and address. If self-employed, indicate 'self' and provide the address of your trade or business.
  5. Specify the type of business you are engaged in, along with the start and end dates of your work period. If your work has not ended, write 'not ended.'
  6. Next, list any months during the work period where you worked 45 hours or less and provide detailed explanations for these instances. If applicable, attach relevant documents such as a work agreement.
  7. If you were employed for wages during the work period, indicate whether that employment was covered under the U.S. Social Security program.
  8. If applicable, enter the total amount of wages earned during each year of the work period as reflected on U.S. Form W-2.
  9. If currently employed, provide an estimate of your gross wages for the current year.
  10. If you were self-employed during the work period, answer whether you were a legal resident or U.S. citizen, and follow up with coverage election questions as applicable.
  11. If you filed income tax returns with the Internal Revenue Service, attach the necessary forms if required and provide a breakdown of earnings if not.
  12. Indicate your expected net earnings for the current year if you are still self-employed.
  13. Complete the affirmation section, ensuring to sign and date the document. Include your mailing address and a contact number.
  14. Finally, save your changes, download the completed form, print it if necessary, or share it as required.

Complete your SSA-7163 form online today to ensure your benefits are accurately calculated.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

Questionnaire about Employment or Self Employment...
Form SSA-7163 (03-2014) EF (03-2014). Destroy Prior Editions. SOCIAL SECURITY...
Learn more

Related links form

Hpcsa Form 10a Csp Account Scholastic Credit Card Form How To Make Authorization Letter

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get SSA-7163
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
Help Portal
Legal Resources
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
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
Help Portal
Legal Resources
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
SSA-7163
This form is available in several versions.
Select the version you need from the drop-down list below.
2021 SSA-7163
Select form
  • 2021 SSA-7163
  • 2014 SSA-7163
  • 2001 SSA-7163
Select form