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  • Ssa-10 2023

Get Ssa-10 2023-2025

SOCIAL SECURITY ADMINISTRATION Form SSA-10 (10-2023) UF Discontinue Prior Editions APPLICATION FOR SOCIAL SECURITY BENEFITS With this application, you are applying for all insurance benefits for which.

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How to fill out the SSA-10 online

The SSA-10 form is an essential application for social security benefits, enabling users to apply for various insurance benefits under the Social Security Act. This guide provides clear and supportive instructions for completing the form online, ensuring you understand each section and field required.

Follow the steps to successfully complete your online application.

  1. Press the ‘Get Form’ button to access the SSA-10 form and open it in your preferred online editor.
  2. Begin by entering the name of the deceased wage earner or self-employed person in the designated field, along with their Social Security number.
  3. Provide your full name and Social Security number, ensuring the information matches official records. If applicable, enter your name at birth.
  4. Input the date of birth of the deceased along with their date of death, including the city and state of death.
  5. Specify the state or foreign country where the deceased had a permanent home at the time of death.
  6. Answer questions about the deceased's ability to work due to illnesses prior to their death, providing dates if applicable.
  7. Report the deceased's earnings from employment and self-employment during the year of death and the year before.
  8. Indicate whether the deceased had wages or self-employment income covered under Social Security for the years since 1978.
  9. Complete the marriage information if the deceased had other marriages, ensuring clarity about how each marriage ended.
  10. Fill out your personal information as a claimant, including your state of birth and citizenship status.
  11. Provide information about any marriages you have had, including the last marriage to the deceased and any remarriages.
  12. If applying for benefits as a surviving divorced spouse, skip certain sections as instructed on the form.
  13. Complete applicable sections regarding work history, Social Security credits under other countries, and any pensions or annuities.
  14. Review and state your desire for Medicare Part B enrollment and complete the sections concerning expected earnings.
  15. In the remarks section, provide any additional information necessary for your application.
  16. Finally, sign and date your application, ensuring that all provided information is accurate before submitting.
  17. Save your changes, download a copy of the completed form, and consider printing or sharing it as needed.

Complete your SSA-10 form online to ensure timely processing of your social security benefits.

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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