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Form SSA-711 (11-2024) Discontinue Prior Editions Social Security Administration Page 1 of 3 OMB No. 0960-0665 REQUEST FOR DECEASED INDIVIDUAL S SOCIAL SECURITY RECORD *Use This Form If You Need.

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How to fill out the SSA-711 online

The SSA-711 form is used to request a deceased individual’s Social Security records. This guide will provide a clear, step-by-step approach to completing this form online, ensuring you understand each section and field.

Follow the steps to complete the SSA-711 form efficiently.

  1. Click ‘Get Form’ button to obtain the SSA-711 form and open it in your preferred editor.
  2. Begin by completing page 2 of the form, which outlines your request details. If you have multiple requests, photocopy this page.
  3. Indicate the type of information requested. You can choose between: 1) Photocopy of the original application for a Social Security Card (SS-5) or 2) A computer extract of the application. Clearly specify your choice and the corresponding fee amounts.
  4. If you are providing the deceased individual’s Social Security Number (SSN), enter it in the designated block. If the SSN is not provided, complete Blocks 4 and 5 with as much information about the deceased individual and their parents as possible.
  5. Fill out the requester’s information section with your name, signature, date, address, and contact details. Ensure all information is complete and accurate.
  6. Select your payment method. Credit card payments require completing Form SSA-714, while checks or money orders should be made out to 'Social Security Administration.' Do not send cash.
  7. After reviewing all entered information for accuracy, save any changes made to the form. You may choose to download, print, or share your completed SSA-711 for submission.

Start filling out your SSA-711 form online today to obtain the records you need.

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