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  • Social Security Claim Form #ssa-1724-f4

Get Social Security Claim Form #ssa-1724-f4

ED SOCIAL SECURITY NUMBER OF DECEASED If the deceased received benefits on another person's record, print name of that worker NAME OF THE WORKER The deceased may have been due a Social Security payment and/or a Medicare Premium refund. The Social Security Act provides that amounts due a deceased may be paid to the next of kin or the legal representative of the estate under priorities established in the law. To help us decide who should receive any payment due, please COMPLETE THIS ENTIRE FOR.

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How to fill out the Social Security Claim Form #SSA-1724-F4 online

This guide provides a comprehensive overview of how to effectively fill out the Social Security Claim Form #SSA-1724-F4 online. It offers step-by-step instructions tailored to users with varying levels of experience with legal documentation.

Follow the steps to successfully complete your claim form

  1. Click the ‘Get Form’ button to download the Social Security Claim Form #SSA-1724-F4 and open it for editing.
  2. Begin by entering the deceased's full name and Social Security number in the designated fields at the top of the form.
  3. Indicate the name of the worker if the deceased received benefits based on another's record.
  4. Provide your name and relationship to the deceased, indicating whether you are a widow, child, or legal representative.
  5. List the next of kin or legal representatives of the deceased in the specified section, providing names and addresses accordingly.
  6. If applicable, answer yes or no to whether the surviving widow or widower was living with the deceased at the time of death and if they were entitled to benefits.
  7. Fill in the number of living children of the deceased, along with their names, addresses, and Social Security numbers, adding any needed explanations for different names in a separate sheet if required.
  8. Provide the number of living parents of the deceased and include their names, addresses, and Social Security numbers.
  9. If needed, input the information for a legal representative of the deceased's estate, ensuring to submit a certified copy of appointment letters if applicable.
  10. Review all entered information for accuracy before signing the form, providing your contact details and selecting your preferred type of deposit for payment.
  11. Sign and date the application, ensuring to include the names and addresses of witnesses if your signature was marked with an X.
  12. Save your changes, then download, print, or share the completed form as necessary.

Complete your Social Security Claim Form #SSA-1724-F4 online today for a smoother claims process.

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To help us decide who should receive any payment due, please COMPLETE THIS ENTIRE FORM and...
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If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you.

* If you get your Social Security or SSI benefit payment in the mail, we'll send your $250 one-time payment by mail. * If your benefit goes directly to your Direct Express debit card, we'll deposit the $250 one-time payment to your debit card.

Form SSA-1724 | Claim For Amounts Due In The Case Of Deceased Beneficiary. A deceased beneficiary may have been due a Social Security payment and/or a Medicare Premium refund prior to or at the time of death.

Lump-sum death payment A spouse might get a one-time death benefit payment of $255. If there's no spouse, some children may be eligible, including those who are: Age 17 or younger, or. Ages 18–19 and in school (K–12) full time, or.

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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