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  • Ssa-795 2022

Get Ssa-795 2022-2025

Person, or SSI Claimant Social Security Number Name of Person Making Statement (If other than above wage earner, self-employed person, or SSI claimant) Relationship to Wage Earner, Self-Employed Person, or SSI Claimant Understanding that this statement is for the use of the Social Security Administration, I hereby certify that - Form SSA-795 (06-2022) UF Page 2 of 2 I declare under penalty of perjury that I have examined all the information on this form, and on any accompanying statemen.

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How to fill out the SSA-795 online

Filling out the SSA-795, or Statement of Claimant or Other Person, is a crucial step in the Social Security claim process. This guide will provide you with clear and comprehensive instructions to help you complete the form online effectively.

Follow the steps to successfully complete the SSA-795.

  1. Press the ‘Get Form’ button to access the SSA-795 form and open it in the online editor.
  2. Begin by entering the name of the wage earner, self-employed person, or SSI claimant in the designated field at the top of the form. Ensure correct spelling for accuracy.
  3. In the next field, provide the corresponding Social Security number of the individual whose statement is being made. Verify this number to prevent errors.
  4. If applicable, fill in the name of the person making the statement, particularly if it is not the wage earner or claimant. This should be completed in the specified section.
  5. Indicate your relationship to the wage earner, self-employed person, or SSI claimant in the provided area. Use clear terms that describe your connection.
  6. Review the certification statement carefully. By filling out this form, you are affirming that the information is accurate to the best of your knowledge.
  7. Sign the form in the area designated for the signature of the person making the statement. Ensure that the signature is in ink if printing.
  8. Fill in the date of signing, using the appropriate format of month, day, and year.
  9. Enter your telephone number along with the area code, ensuring it is reachable for any necessary follow-up.
  10. Complete the mailing address section fully, including the street address, city, state, and ZIP code.
  11. If you signed with a mark (X), include two witness signatures along with their complete addresses in the designated area.
  12. Finally, after reviewing all entered information for accuracy, proceed to save changes, download, print, or share the completed form as needed.

Start completing your SSA-795 online today and ensure a smooth application process.

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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