Get Ssa 4111 2020-2026

Filling out the Ssa 4111 form is a crucial step for individuals seeking reduced widow's and surviving divorced spouse's benefits. This guide will provide clear, step-by-step instructions to help you navigate the process with confidence and ease.

Follow the steps to successfully complete the Ssa 4111 form.

1. Click ‘Get Form’ button to access the online version of the Ssa 4111 form.
2. In the first section, print the name of the wage earner or self-employed person (the worker) as required. Below that, enter their Social Security number accurately.
3. Next, print your full name, including your first name, middle initial, and last name. If applicable, provide your Social Security number. If you do not have one, indicate that it is 'none' or 'unknown.'
4. Read the information regarding the effects of reduced widow's and surviving divorced spouse's benefits. This section outlines key considerations for your benefits based on your age and the timing of your election.
5. In item 3, choose the month and year you wish to begin receiving reduced benefits. Your choice must be within the 12 months prior to the current date and can start from the month of the deceased worker's death up to the month before you reach full retirement age.
6. Next, declare the accuracy of the information provided by signing your name within the specified section. Remember to write in ink.
7. Enter the date you are completing the form as well as your telephone number, including the area code.
8. Provide your complete mailing address, including street number, apartment number, city, state, and ZIP code in the designated fields.
9. If applicable, state the name of the county where you currently reside. This section is optional.
10. If you signed the form using a mark (X), two witnesses must sign below, providing their full addresses.
11. Review all entered information for accuracy. Once completed, you can save your changes, download the form, print it, or share it as needed.

Complete your Ssa 4111 form online today to ensure a smooth benefits election process.