UCTIONS FOR COMPLETING FORM SSA-792 Keep a copy of this form for your records. This Form is Time Sensitive If you want to continue to receive benefits pending the outcome of your request for appeal at the reconsideration or hearing level, we must receive this form no later than 15 calendar days from the date on the notice informing you of our determination ending disability benefits. If you submit this form more than 15 calendar days from the date on the notice informing you of our determination.
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How to fill out the SSA-792 online
Filling out the SSA-792 is an essential step for individuals seeking to continue their disability benefits during an appeal. This guide will help you navigate the form's sections, ensuring that your submission is complete and timely.
Follow the steps to effectively complete the SSA-792 online.
- Click ‘Get Form’ button to obtain the form and access it in a user-friendly online format.
- Section A requires you to provide your personal information as the beneficiary or recipient. Fill in your Social Security Number, first name, middle initial, last name, telephone number, and complete your address including street or P.O. box, city, state, and ZIP code.
- In Section B, if you are a disabled or blind Supplemental Security Income (SSI) recipient, you will select one of the two options regarding your SSI benefit continuation—whether you want your payments to continue or not.
- For Section C, if you are the number holder of your disability benefits, choose an option that best reflects your wishes regarding the continuation of your benefits. This includes options related to benefits for others on your record, if applicable.
- In Section D, if the beneficiary is a spouse, child, or widow of the number holder, provide the number holder's Social Security Number and select your benefit continuation options.
- If you are submitting this form after the initial 15 calendar days from the notice, complete Section E to provide a reason for the delay under the Good Cause Statement.
- Finally, Section F requires your signature, affirming your understanding of the terms related to benefit continuation. Ensure the date is filled in and, if applicable, include information as a representative payee.
- Upon completing all sections necessary, save your changes. You can then download, print, or share the completed SSA-792 form as needed.
Begin your online submission of the SSA-792 form today to ensure timely processing of your benefits.
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