Get Form Ssa-821-bk 2012-2025

The Form SSA-821-BK, also known as the Work Activity Report - Employee, is essential for individuals receiving disability benefits from the Social Security Administration. This guide will provide step-by-step instructions to help you accurately fill out the form online, ensuring you provide the necessary information to maintain your benefits.

Follow the steps to complete the SSA-821-BK form online effectively.

1. Press the ‘Get Form’ button to access the online version of the SSA-821-BK form. This will direct you to the document for completion.
2. In the identification section, enter the claimant or beneficiary's name, Social Security number, claim number, and mark if they are blind or not. Be thorough, as this information is crucial for their records.
3. Proceed to the work activity section. Answer whether there has been any employment income by selecting 'YES' or 'NO' and continue as instructed by the form.
4. If there are employment details to report, start with the most recent employer's information. Include their name, contact details, mailing address, job title, type of work, dates worked, and rate of pay. Attach copies of pay stubs if available.
5. Continue detailing previous employers, following the same format as step 4. Ensure that information for all relevant employment is included to provide a complete history.
6. If you incurred out-of-pocket expenses related to your physical or mental condition for work, document these expenses in the appropriate section, including descriptions and costs.
7. After filling out all sections, review the form carefully to ensure accuracy. Remember to sign and date the form before submission.
8. Once completed, you may save your changes, download the form, print it, or share it as required for submission.

Complete your Form SSA-821-BK online today to ensure your disability benefits continue smoothly.