Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Ssa-10 2023

Get Ssa-10 2023-2026

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.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

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.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Form SSA-10 (10-2023) UF
APPLICATION FOR SOCIAL SECURITY BENEFITS. (Do not write in this space). With this...
Learn more
Request for Social Security Earnings Information
If you require one of each type of earnings statement, you must complete two separate...
Learn more
Surgical Site Infection Event (SSI)
Jan 1, 2025 — An operative procedure code (ICD-10-PCS and/or CPT) is required to...
Learn more

Related links form

CA EA-115 2020 ME DE-407 2019 MN Loan Modification And Extension Agreement 2018 MN Loan Modification And Extension Agreement 2019

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get SSA-10
Get form
  • 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
  • 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
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
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
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • 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
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program