What is a 795 statement?

Form SSA-795 is a multi-purpose form used to submit written requests to Social Security. The title of the form is "Statement of Claimant", and Social Security prefers to have people use the form as opposed to other types of correspondence because it contains a penalty clause for making false statements.

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Indiana Social Security Complaint Form

Indiana Social Security Complaint Form

Name: Indiana Social Security Complaint Form
Brand: US Legal Forms
Price: 59.00 USD
Rating: 4.61 (221 reviews)

Category:

Indiana Federal - District Court - Northern District

State:

Indiana

Control #:

IN-AO-IFPAPPND

Format:

Instant download

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Public form

Description

Social Security Complaint Form The Indiana Social Security Complaint Form is a document used by citizens of Indiana to file a complaint against the Social Security Administration (SSA) or its local offices. It is used to report any issues or problems with Social Security Disability Insurance (SDI) or Supplemental Security Income (SSI) benefits, as well as any other issues related to Social Security in the state. The form allows the complainant to provide specific details about their complaint, including the nature of the issue and any supporting documentation. There are two primary types of Indiana Social Security Complaint Forms: the General Complaint Form and the Appeals Complaint Form. The General Complaint Form is used to file complaints related to SDI or SSI benefits, as well as complaints about customer service, Social Security employee conduct, or any other issues related to Social Security in Indiana. The Appeals Complaint Form is used to file an appeal of a Social Security decision or action. Both forms can be found on the Indiana State Government website.

The Indiana Social Security Complaint Form is a document used by citizens of Indiana to file a complaint against the Social Security Administration (SSA) or its local offices. It is used to report any issues or problems with Social Security Disability Insurance (SDI) or Supplemental Security Income (SSI) benefits, as well as any other issues related to Social Security in the state. The form allows the complainant to provide specific details about their complaint, including the nature of the issue and any supporting documentation. There are two primary types of Indiana Social Security Complaint Forms: the General Complaint Form and the Appeals Complaint Form. The General Complaint Form is used to file complaints related to SDI or SSI benefits, as well as complaints about customer service, Social Security employee conduct, or any other issues related to Social Security in Indiana. The Appeals Complaint Form is used to file an appeal of a Social Security decision or action. Both forms can be found on the Indiana State Government website.

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How to fill out Indiana Social Security Complaint Form?

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FAQ

You can contact the OIG's fraud hotline at 1-800-269-0271 or submit a report online at oig.ssa.gov.

Social Security (i.e. payments, coverage, claims, appeals, reports of fraud and identity theft) should be directed to the Social Security Administration (SSA) at 1-800-772-1213 or visit the SSA website at .ssa.gov/agency/contact.

Form SSA-795 is a multi-purpose form used to submit written requests to Social Security. The title of the form is "Statement of Claimant", and Social Security prefers to have people use the form as opposed to other types of correspondence because it contains a penalty clause for making false statements.

What is a SSA 795? A Form SSA 795 is known as a Statement of Claimant or Other Person. It will be received and recorded by the Social Security Administration in the United States. The form will be used by a third party to make a statement about the applicant's employment or wages.

SSA uses the SSA-795 to obtain information from claimants or other persons having knowledge of facts in connection with claims for Social Security benefits or Supplemental Security Income (SSI) payments when there is no standard form to collect the needed information.

General information for recording statements on the SSA-795. Use an SSA-795 whenever a signed statement is required or desirable, except when we request some other form or questionnaire or we can readily adapt for the statement.

It is called Representative Payee Report of Benefits and Dedicated Account, SSA-6233-BK. You should keep these records (e.g. bank statements and canceled checks) along with receipts for two years from the time you complete the form.

You can use Form SS-5 as your social security status change form when making the transition to U.S. citizenship. If you had an SSN card as a green card holder, you can then submit another SSA form SS5 and use it as your social security citizenship update form.

More info

If your letter is missing information, we will send you a copy of this form. Thank you for taking 5 minutes to provide feedback about your recent experience with the Social Security Administration.You can use this online form to report allegations of fraud, waste, and abuse concerning SSA programs and operations. Not all forms are listed. If the individual wishes to file a complaint, assist the individual in preparing the written complaint on Form SSA795. Complaint for Review of Social Security Decision. Download Form (docx, 36. You also can fill out a comment card to rate your experience at your local SSA office. File a Complaint Using the Civil Rights Discrimination Complaint Form Package. Online Complaint Form.

Indiana Social Security Complaint Form

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