Get Ssa-783 2015

The SSA-783 form, also known as the Statement Regarding Contributions, is a crucial document for providing information about financial contributions to a claimant's support. This guide will help users understand how to efficiently fill out this form online, ensuring all necessary information is accurately provided.

Follow the steps to complete the SSA-783 effectively.

1. Click the ‘Get Form’ button to obtain the form and open it in your digital editing tool.
2. Begin by entering the name of the wage earner or self-employed person in the designated field, alongside their social security number.
3. Next, print your full name, ensuring to include your first name, middle initial, and last name. Then specify your relationship to the claimant and the wage earner or self-employed person.
4. Fill in the information regarding contributions in section 1(a). List each person or agency that contributed to the claimant's support, including their names, addresses, relationship to the claimant, and the time frame of their contributions.
5. For section 1(b), indicate whether there was any break in contributions from any contributor during the specified period. If 'Yes,' provide the contributor's name, the months without contributions, and the reason.
6. In section 1(c), if contributions ended before the wage earner's or self-employed person's death or before the application was filed, please note down the name of the contributor and the reason contributions ceased.
7. Section 1(d) requires you to report non-cash contributions, such as clothing or board, including the contributor's name, the items contributed, and their approximate value.
8. Complete section 2 to indicate if the claimant had their own wages or income. If 'Yes,' specify the amount per month and the months in which they received this income.
9. Section 3(a) addresses claimants who lived with multiple parents. If applicable, answer the related questions, providing details on contributions from each parent.
10. In section 4, explain how you learned the facts referenced in questions 1, 2, and 3.
11. Finally, declare the accuracy of your information by signing the form. Include the date, your contact number, and mailing address. Additionally, if you signed by mark (X), ensure two witnesses sign below, along with their full addresses.
12. Once all fields are filled accurately, save changes, download a copy, print the form, or share it as necessary.

Get started now by completing your SSA-783 form online.