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SOCIAL SECURITY DECLARATION FORM. This form is to be filled out by employees who do not have their social security cards available at the time of hire. This form is not meant to satisfy the requirement for the Employment Eligibility Verification Form (I-9) and must not be used for that purpose.
In most cases, a dire need letter will describe situations that are extreme, beyond what most disability applicants, who are already out of work and without an income are facing. This may include issues such as potential foreclosure or eviction.
To Whom It May Concern: I am writing to request consideration as a person in critical need for my Social Security disability. I require my claim to be processed as a dire need case because I cannot afford food, medicine, or shelter. I am attaching (list your attachments) to prove my circumstances are critical.
SSA defines a dire need situation as one that exists when a person has insufficient income or resources to meet an immediate threat to health or safety, such as the lack of food, clothing, shelter or medical care.
By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office. Call ahead to make an appointment. If you do not live in the U.S. or one of its territories, you can also contact your nearest U.S. Social Security office, U.S. Embassy or consulate.
You should start by setting out what your impairment/s is/are, i.e. you might have a condition that has a medical name or diagnosis. It is also important to talk about what the actual impairments or symptoms arising from the condition are.
If you have a problem, you should first contact your local office or call our 800 number. If you still need additional help, you may write to the Office of Public Inquiries and Communications Support. Please include your Social Security number or claim number whenever you write to us.
You can request one online by using your personal my Social Security account, which will allow you to immediately view, print, and save a copy of the letter. You can call us to request one at 1-800-772-1213 (TTY 1-800-325-0778), Monday through Friday from a.m. to p.m. local time.