This form is used to establish a date on which a claimant's eligibility for benefit payments is determined (sometimes called the protective filing date). An application must be filed with the Social Security Administration before one can be entitled to Social Security payments or Supplemental Security Income (SSI). A letter, filed with the SSA, may serve as an application if all of the necessary requirements are met.
North Dakota Letter or Statement to Social Security Administration in Order to Establish Claimant's Date of Eligibility for Benefits
State:
Multi-State
Control #:
US-01279BG
Format:
Word;
Rich Text
Instant download
Description
How to fill out Letter Or Statement To Social Security Administration In Order To Establish Claimant's Date Of Eligibility For Benefits?
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FAQ
WHAT IS A REDETERMINATION? We review your income, resources, and living arrangements to be sure you are still eligible for Supplemental Security Income (SSI) and are getting the correct payment.
SEND THE COMPLETED FORM TO YOUR LOCAL SOCIAL SECURITY OFFICE. The office is listed under U.S. Government agencies in your telephone directory or you may call Social Security at 1-800-772-1213 (TTY 1-800-325-0778). You may send comments on 01 to estimate above to. SS4, 6401 Securin Boulevard Baltimore, MD 21235-6401.
To obtain FREE yearly totals of earnings, visit our website at . Section 205 of the Social Security Act, as amended, allows us to collect this information.
Individuals use Form SSA-795 to make signed statements relating to claims for Social Security benefits or Supplemental Security Income (SSI) payments under 20 CFR 404.702 and 416.570 of the Code of Federal Regulations.
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.
Related to Statement of Claimant Claimant means a person or entity who or which submits a Claim Form to the Claims Administrator seeking to be eligible to share in the proceeds of the Settlement Fund.
Your Social Security Statement (Statement) is available to view online by opening a my Social Security account. It is useful for people of all ages who want to learn about their future Social Security benefits and current earnings history.
If you would like to receive your Social Security Statement by mail, please print and complete a "Request For Social Security Statement" (Form SSA-7004) and mail it to the address provided on the form. You should receive your paper Social Security Statement in the mail in four to six weeks.
General filing instructions for the SSA Form 795 are as follows: Indicate the name of the claimant in the first field. Provide the Social Security Number (SSN) of the claimant. If you are not the claimant, enter your name in the box titled "Name of Person Making Statement." Specify your relationship with the claimant.
