Get Ssa-4111 2019

Filling out the SSA-4111 form is an important step for those wishing to apply for reduced widow's or surviving divorced spouse's benefits. This guide provides a clear, step-by-step approach for users to easily navigate the online process and complete the form accurately.

Follow the steps to successfully complete the SSA-4111 form online.

1. Press the ‘Get Form’ button to access the SSA-4111 form and open it in the editing interface.
2. In the first section, print the name of the wage earner or self-employed person, referred to as 'Worker'. Additionally, enter their Social Security number for identification.
3. Next, print your full name, including your first name, middle initial, and last name, in the designated field. Enter your own Social Security number.
4. Review the information provided about reduced widow's and surviving divorced spouse's benefits to understand how your choices might impact the benefit amount.
5. In item 3, make your election by selecting the month and year you wish to accept reduced benefits. Ensure your choice fits within the allowed timeframes.
6. Sign the form, providing your first name, middle initial, and last name. Remember to use ink for this part.
7. Include the date of signing in the specified format (month, day, year), along with your telephone number, including the area code.
8. Fill out your mailing address completely, specifying the necessary details such as street number, apartment number, and ZIP code.
9. If you signed by mark (X), ensure that two witnesses sign the form in the designated section, along with their addresses.
10. Once all fields are completed accurately, save any changes, and make sure to download, print, or share the form as needed.

Begin your online application today and complete the SSA-4111 form with confidence!