Get Department Of Labor Office Of Workers' Compensation Programs Division Of Coal Mine Workers'

Filling out the Department of Labor's Form SSA-581 is an important step in requesting itemized earnings data from the Social Security Administration. This guide provides clear instructions for accurately completing the form online, ensuring that your request is processed efficiently.

Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete the required fields on the Form SSA-581. Ensure that you input accurate information, including the miner's Social Security number and the period of employment for which you are requesting earnings data.
3. If you are a district office staff member, fill out as much information on the form as possible before sending it to the claimant. Type or write clearly using black or blue ink.
4. Send the completed form to the claimant for signature. The claimant must sign the form by hand, as typed or stamped signatures are not accepted.
5. Ensure the claimant's signature is dated within 60 days before submission to the Social Security Administration, as this is a requirement for the processing of the request.
6. If the claimant cannot sign the form, alternative methods such as a mark witnessed by two disinterested persons or a notarized statement of identity must be provided instead.
7. After the claimant returns the signed Form SSA-581 along with any required supporting documentation, mail it to the designated address for processing.
8. Monitor the submission and expect to receive the itemized statement of earnings within 30 days. If not received, follow up after 45 days as indicated in the instructions.
9. Finalize your process by saving changes, downloading, printing, or sharing the completed form as needed.

Start filing the Department of Labor Form SSA-581 online today to ensure timely processing of your earnings request.