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  • Ssa-783 2008

Get Ssa-783 2008

Y ACT/PAPERWORK ACT NOTICE: This notice is given pursuant to the Privacy Act of 1974 (5 U.S.C. 552a). The information requested on this form is sought pursuant to the authoring granted in Sections 202(d) and (h) of the Social Security Act. The information provided will be used to confirm entitlement to such benefits. Other uses which may be made of the information are summarized below. While completion of this is voluntary, failure to provide all or any part of the requested information may be c.

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How to fill out the SSA-783 online

The SSA-783 form is a crucial document used by the Social Security Administration to gather information regarding contributions made to a claimant's support. Filling this form accurately online is essential for confirming entitlement to benefits.

Follow the steps to successfully complete the SSA-783 form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the print name of the wage earner or self-employed person at the top of the form. Ensure this individual’s social security number is entered accurately.
  3. Print your full name, including first name, middle initial, and last name, in the designated field.
  4. Indicate your relationship to the claimant and to the wage earner or self-employed person, providing clarity about your connection.
  5. In section 1(a), list each contributor's name and address, along with the relevant dates of contributions, frequency, and average amounts contributed.
  6. Answer whether there was any break in contributions during the specified period. If 'Yes,' provide the name of the contributor and details regarding the break.
  7. If contributions ended prematurely, indicate who stopped the contributions and provide a reason.
  8. In section 1(d), if items other than cash were contributed, include details about the contributors and the approximate value of those items.
  9. Indicate the name and address of the person or agency that received payments for the claimant's support.
  10. For section 2, confirm whether the claimant had wages or income of their own. If 'Yes,' specify the monthly amount and the applicable months.
  11. In section 3, clarify if the claimant is a child living with more than one parent. If so, answer the relevant questions regarding contributions from each parent.
  12. In section 4, explain how the information was obtained for the answers you provided.
  13. Finally, review all your entries for accuracy, then provide your signature, date it, and fill in your contact details, including phone number and mailing address.
  14. If applicable, witnesses must sign below if the statement was signed by mark (X).
  15. Once completed, you can save changes, download, print, or share the form as needed.

Start filling out the SSA-783 form online today to ensure your benefits application progresses smoothly.

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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
SSA-783
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