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Social Security Advisor
 

DISCLAIMER - THIS WEBSITE IS NOT ENDORSED BY OR AFFILIATED WITH THE U.S. SOCIAL SECURITY ADMINISTRATION , OR ANY GOVERNMENTAL ENTITY.

Carol Thomas has recently retired from the Social Security Administration after 28 years service. If you have any questions about Social Security, please ask. We will use the questions you send for future posts. I will never post anyone's name, or other identifiable information.

AGENCY FORM # FORM NAME TYPE REVISED
SSA SSA 0000 Social Security Address Change Instructions Both Form and Instructions   
SSA SSA 1 Application for Retirement Insurance Benefits Both Form and Instructions  Mar 01, 2006
SSA SSA 10 BK Application for Widow's or Widower's Insurance Benefits Instructions Only  Jan 01, 2006
SSA SSA 1002 F3 Statement of Agricultural Employer (Years Prior to 1988) Both Form and Instructions  Jul 01, 1992
SSA SSA 1003 F3 Statement of Agricultural Employer (1988 and Later) Both Form and Instructions  Jul 01, 1992
SSA SSA 11 BK Request To Be Selected As Payee Both Form and Instructions  Mar 01, 2006
SSA SSA 1272 U4 Subpoena, Disability Hearing Form Only  Apr 01, 1984
SSA SSA 1294 F6-CN Application for U.S. Benefits under the Canada-U.S. International Agreement Both Form and Instructions  Apr 01, 1996
SSA SSA 131 Employer Report of Special Wage Payments Both Form and Instructions  Aug 01, 2001
SSA SSA 1344 Chinese Custom Marriage Statement --- Statement Regarding Chinese Custom Marriage Form Only  Feb 01, 1983
SSA SSA 1345 Chinese Custom Marriage Statement --- Statement Regarding Chinese Custom Marriage Form Only  Apr 01, 1979
SSA SSA 1365 State Agency Ticket Assignment Form Both Form and Instructions  Oct 01, 2001
SSA SSA 1366 F3 State Vocational Information Sheet Form Only  Mar 01, 2002
SSA SSA 1367 F3 Individual Work Plans (IWP) Form Only  Mar 01, 2002
SSA SSA 1371 FC Statement to U.S. Social Security Administration by School Outside the U.S. About Student's Attendance Form Only  Aug 01, 1990
SSA SSA 1371 Statement to U.S. Social Security Administration by School Outside the U.S. About Student's Attendance Form Only  Jul 01, 1992
SSA SSA 1372 BK Advance Notice of Termination of a Child's Benefits & Student's Statement Regarding School Attendance Form Only  Aug 01, 2006
SSA SSA 1383 Student Reporting Form Form Only  Jul 01, 2005
SSA SSA 1414 Credit Card payment Form Form Only  Feb 01, 2002
SSA SSA 1425 Reporting Changes that Affect Your Social Security Payment Form Only  Feb 01, 2002
SSA SSA 1458 Certification by a Religious Group Form Only  Nov 01, 1991
SSA SSA 150 Benefits Formula Questionnaire Form Only  Jul 01, 2003
SSA SSA 1535 U3 Application for Search of Census Record for Proof of Age Form Only  Jul 01, 2006
SSA SSA 1560 U4 Petition to Obtain Approval of a Fee for Representing a Claimant before the Social Security Administration Both Form and Instructions  Feb 01, 2005
SSA SSA 1587 OCR-SM Beneficiary Recontact Report Both Form and Instructions  Oct 01, 1997
SSA SSA 1588 OCR-SM Beneficiary Recontact Report Form Only  Apr 01, 1997
SSA SSA 16 BK Application for Disability Insurance Benefits Both Form and Instructions  May 01, 2006
SSA SSA 1696 U4 Appointment of Representative Both Form and Instructions  Jan 01, 2005
SSA SSA 1724 Claim for Amounts Due in Case of a Deceased Beneficiary Form Only  Nov 01, 1984
SSA SSA 19 F6 Application for Special Age 72-Or-Over Monthly Payments Form Only  Jul 01, 1989
SSA SSA 199 Vocational Rehabilitation Provider Claim -- 20 CFR Subpart V Subpart V Form Only  Feb 01, 2002
SSA SSA 2 BK Application for Wife's or Husband's Insurance Both Form and Instructions  Apr 01, 2006
SSA SSA 2000 F6 Application for Special Benefits for World War II Veterans Form Only  Oct 01, 2006
SSA SSA 2001 Representative Payee Report -- Special Veterans Both Form and Instructions  Jul 01, 2000
SSA SSA 21 Supplement to Claim of Person Outside the United States Form Only  Mar 01, 2006
SSA SSA 24 Application for Survivor's Benefits Form Only  Feb 01, 2002
SSA SSA 2434 F3 Statement Regarding Student's Attendance Form Only  Oct 01, 1983
SSA SSA 2490 BK Application for Benefits Under a U.S. International Social Form Only  Apr 01, 2004
SSA SSA 25 Certificate of Election for Reduced Spouse's Benefits Form Only  Feb 01, 2006
SSA SSA- 2506 -BK Psychiatric Review Technique Form Only   
SSA SSA 2512 Pre-1957 Military Service Federal Benefit Questionnaire Form Only  Apr 01, 1984
SSA SSA 2519 Child Relationship Statement Form Only  Apr 01, 2002
SSA SSA 2528 F4-IT Application for Benefits, Italy-U.S.A. Agreement on Social Security Both Form and Instructions  Dec 01, 2000
SSA SSA 2574 Information About Joint Checking/Savings Account Form Only  Feb 01, 1998
SSA SSA 2854 Statement of Funds You Provided to Another Statement of Funds You Received Form Only  Dec 01, 2000
SSA SSA 2855 Statement of Funds You Provided to Another Statement of Funds You Received Form Only  Feb 01, 1990
SSA SSA 293 Inquiry to File an SSI Child's Application Form Only  Feb 01, 1999
SSA SSA 2930 BK RSI/DI Quality Review Case Analysis - Sampled Number Holder Form Only  Jul 01, 2000
SSA SSA 2931 BK RSI/DI Quality Review Case Analysis - Sampled Number Holder Form Only  Jul 01, 2000
SSA SSA 2932 BK RSI/DI Quality Review Case Analysis - Sampled Number Holder Form Only  Nov 01, 1992
SSA SSA 3 Marriage Certification Form Only  Apr 01, 2003
SSA SSA 3033 Employee Work Activity Report Form Only  Sep 01, 1989
SSA SSA 308 Modified Benefit Formula Questionnaire, Foreign Pension Form Only  Dec 01, 1996
SSA SSA 3192 F4 Medical Parking Application Both Form and Instructions  Dec 01, 2002
SSA SSA 322 Beneficiary Interview & Auditor's Observations Form Only  May 01, 2001
SSA SSA 3288 Privacy and Disclosure of Official Records and Information Both Form and Instructions  May 01, 2007
SSA SSA 3368 BK Disability Report, Adult Both Form and Instructions  Feb 01, 2004
SSA SSA 3369 BK Work History Report Both Form and Instructions  Jan 01, 2005
SSA SSA 3380 BK Function Report - Adult Third Party Both Form and Instructions  Jul 01, 2004
SSA i 3441 Disability Report--Appeal Both Form and Instructions   
SSA SSA- 3441 -BK (EDCS Screens) Disability Report--Appeal (EDCS Screens) Form Only   
SSA i 3441 (iAppeals) Disability Report--Appeal (i3441--Revisions to the Screening Questions for Use with the New iAppeals Program) Both Form and Instructions   
SSA SSA 3441 BK Disability Report - Appeal Both Form and Instructions  Jan 01, 2005
SSA SSA 3462 Record of SSI Inquiry Form Only  Dec 01, 1999
SSA SSA 3820 BK Disability Report, Child Both Form and Instructions  Jul 01, 2003
SSA SSA 3881 BK Questionnaire for Children Claiming SSI Benefits Form Only  Jun 01, 2003
SSA SSA 3885 Government Pension Questionnaire Form Only  Aug 01, 1999
SSA SSA 3961 State Contribution Return Both Form and Instructions  Apr 01, 1984
SSA SSA 4156 Employee Identification Statement Form Only  Sep 01, 1989
SSA SSA 4162 Child Care Drop Out Years Form Only  Apr 01, 2005
SSA SSA 4178 Marital Relationship Questionnaire Form Only  Dec 01, 2000
SSA SSA 4184 0 Self-Employment-Cooperative Officer Questionnaire Form Only  Jan 01, 1991
SSA SSA 4290 Claimant's Recent Medical Treatment Form Only  Jul 01, 2005
SSA SSA 437 BK Discrimination Complaint Form Both Form and Instructions  Mar 01, 2006
SSA SSA 4513 State Agency Report of Obligations for SSA Disability Programs Both Form and Instructions  Jun 01, 2001
SSA SSA 4514 State Agency Report of Obligations for SSA Disability Programs Both Form and Instructions  Jun 01, 2002
SSA SSA 454 BK Report of Continuing Disability Interview Form Only  Apr 01, 2006
SSA SSA 455 Disability Update Report Form Only  Aug 01, 2002
SSA SSA 4588 OP6 You Can Make Your Payment by Credit Card Both Form and Instructions  Aug 01, 2004
SSA SSA 4589 OP6 You Can Make Your Payment by Credit Card Both Form and Instructions  Aug 01, 2004
SSA HA 4608 Waiver of Your Right to Personal Appearance - Hearing Form Only  Mar 01, 2003
SSA HA 4631 Claimant's Recent Medical Treatment Form Only  Aug 01, 1996
SSA HA 4632 Claimant's Medications Form Only  Feb 01, 1994
SSA HA 4633 Claimant's Work Background Form Only  Mar 01, 1994
SSA SSA 4641 U2 Authorization for the Social Security Administration to Obtain Records from a Financial Institution and Request for Records Form Only  Jun 01, 2003
SSA SSA 4659 F4 RSI/DI Quality Review Case Analysis - Sampled Number Holder Form Only  Sep 01, 1999
SSA SS 5 Application for a Social Security Card Both Form and Instructions  May 01, 2006
SSA SSA 5 F6 Application for Mother's or Father's Insurance Benefit Instructions Only  Jan 01, 2006
SSA HA 501 U5 Request for Hearings by Administrative Law Judge Form Only  May 01, 2007
SSA SSA 5062 Claimant's Statement About Loan of Food or Shelter Statement About Food or Shelter Provided to Another Form Only  Apr 01, 2006
SSA SSA 512 Request to Resolve Questionable Quarters of Coverage (QC) Form Only  Sep 01, 1997
SSA SSA 513 Request to Resolve Questionable Quarters of Coverage (QC) Form Only  Sep 01, 1997
SSA HA 520 U5 Request for Review of Hearing Decision/Order Form Only  May 01, 2003
SSA SSA 521 Request for Withdrawal of Application Form Only  Jul 01, 2003
SSA HA 539 Notice Regarding Substitution of Party Upon Death of Claimant Form Only  Nov 01, 1990
SSA SSA 545 BK Plan for Achieving Self-Support Form Only  Nov 01, 2005
SSA SSA 546 Worker's Compensation/Public Disability Benefit Questionnaire Form Only  Jun 01, 2004
SSA SSA 561 U2 Request for Reconsideration Form Only  Jul 01, 2003
SSA SSA 5665 BK Teacher Questionnaire Form Only  Jan 01, 2006
SSA SSA 5666 Request for Administrative Information Form Only  Jan 01, 2006
SSA SSA 58 MDCDISP/OD Modified Benefits Formula Questionnaire, Employer Form Only  Nov 01, 1998
SSA SSA 581 Authorization to Obtain Earning Data from the Social Security Administration Form Only  Jan 01, 2002
SSA SSA 612 Report of New Information in Disability Cases Form Only  Jun 01, 2000
SSA SSA 623 F6 Representative Payee Report Both Form and Instructions  Sep 01, 2001
SSA SSA 6230 F6 Representative Payee Report Both Form and Instructions  Sep 01, 2003
SSA SSA 6233 BK Representative Payee Report of Benefits and Dedicated Account Both Form and Instructions  Oct 01, 1997
SSA SSA 624 F5 Representative Payee Evaluation Report Form Only  Mar 01, 1990
SSA SSA 625 Report by Former Representative Payee Form Only  Dec 01, 1985
SSA SSA 632 BK Request for Waiver of Overpayment Recovery or Change in Repayment Rate Form Only  Dec 01, 2002
SSA SSA 637 Expanded Monitoring Program Site Review Questionnaire For Volume Payees Form Only  Feb 01, 2005
SSA SSA 638 Site Review Questionnaire For Volume Payees Form Only  Nov 01, 2001
SSA SSA 639 Site Review Questionnaire for Fee-for-Service Payees Form Only  Nov 01, 2001
SSA HA- 66 Request for Evidence from Doctor Form Only   
SSA HA- 67 Request for Evidence from Hospital Form Only   
SSA SSA 671 Railroad Employment Questionnaire Form Only  Mar 01, 2005
SSA SSA 7 F6 Application for Parent's Insurance Benefits Instructions Only  Mar 01, 2006
SSA SSA 7004 SM Request for Earnings and Benefit Estimate Statement; Request for Earnings and Benefit Statement - SP Both Form and Instructions  Jan 01, 2003
SSA SSA 7008 Request for Correction of Earnings Record Form Only  May 01, 1988
SSA SSA 7011 F4 Statement of Employer Both Form and Instructions  Mar 01, 1990
SSA SSA 702 Statement Regarding Date of Birth and Citizenship Form Only  Sep 01, 1982
SSA SSA- 7050-F4 Request fo Social Security Earning Information Form Only   
SSA SSA 7104 Partnership Questionnaire Form Only  Apr 01, 1986
SSA SSA 7156 Farm Self - Employment Questionnaire Form Only  Apr 01, 2005
SSA SSA 7157 F4 Farm Arrangement Questionnaire Form Only  Jan 01, 1985
SSA SSA 7160 F4 Employment Relationship Questionnaire Form Only  Dec 01, 1987
SSA SSA 7161 OCR-SM Report to United States Social Security Administration by Person Receiving Benefits for a Child Form Only  Mar 01, 2004
SSA SSA 7162 OCR-SM Report to United States Social Security Administration by Person Receiving Benefits for an Adult Unable to Handle Funds Form Only  Apr 01, 2004
SSA SSA 7163 Questionnaire About Employment or Self-Employment Outside the United States Form Only  Aug 01, 2001
SSA SSA 7163 A-F4 Supplemental Statement Regarding Farm Activities of Persons Living Outside the U.S.A. Form Only  Aug 01, 2001
SSA SSA 721 Statement of Death by Funeral Director Form Only  May 01, 2005
SSA SSA 723 F4 Statement Regarding the Inferred Death of an Individual by Reason of Continued & Unexplained Absence Form Only  Mar 01, 1992
SSA SSAL 725 Letter to Employer Requesting Information about Wages Earned Both Form and Instructions  Feb 01, 1996
SSA SSA 753 Statement Regarding Marriage Form Only  Aug 01, 1984
SSA SSA 754 F4 Statement of Marital Relationship Form Only  Jun 01, 2006
SSA SSA 760 F4 Certificate of Support Form Only  Nov 01, 1983
SSA SSA 765 Response to Notice of Revised Determination Form Only  Jun 01, 1989
SSA SSA 766 Statement of Self-Employment Income Form Only  May 01, 1983
SSA SSA 769 U4 Request For Change In Time/Place of Disability Hearing Form Only  Apr 01, 1984
SSA SSA 770 U4 Notice Regarding Substitution of Party Upon Death of Claimant Reconsideration of Disability of Cessation Form Only  Apr 01, 1992
SSA SSA 781 Certificate of Responsibility for Welfare and Care of Child Not in Applicant's Custody Form Only  Oct 01, 1983
SSA SSA 783 Statement Regarding Contributions Form Only  Jan 01, 1990
SSA SSA 788 F4 Statement of Care and Responsibility for Beneficiary Form Only  Aug 01, 2004
SSA SSA 789 U4 Request for Reconsideration - Disability Cessation Form Only  Mar 01, 2003
SSA SSA 795 Statement of Claimant or Other Person Form Only  Aug 01, 2002
SSA SSA 8 F4 Application for Lump-Sum Death Payment Instructions Only  May 01, 2003
SSA SSA 8000 BK Application for Supplemental Security Income Form Only  May 01, 1990
SSA SSA 8006 F4 Statement of Living Arrangements, In-Kind Support and Maintenance Form Only  Aug 01, 2004
SSA SSA 8010 BK Statement of Income and Resources Form Only  Sep 01, 2004
SSA SSA 8011 F3 Statement of Household Expenses and Contributions Form Only  Jun 01, 1989
SSA SSA 8019 U2 Third-Party Liability Information Statement Form Only  May 01, 2003
SSA SSA 8060 U3 Agreement to Sell Property Form Only  Oct 01, 1987
SSA SSA 8125 SSI Notice of Interim Assistance Reimbursement Both Form and Instructions  Oct 01, 1997
SSA SSA 8150 EV Reporting Events, SSI Instructions Only  Jun 01, 1981
SSA SSA 820 F4 Work Activity Report Form Only  Feb 01, 1991
SSA SSA 8202 BK Statement for Determining Continuing Eligibility for Supplemental Security Income Payments   May 01, 2003
SSA SSA 8203 BK Statement for Determining Continuing Eligibility for Supplemental Security Income Payments Both Form and Instructions  May 01, 2003
SSA SSA 821 BK Work Activity Report, Employee Both Form and Instructions  Mar 01, 2001
SSA SSA 824 Report on Individual with Mental Impairment Both Form and Instructions  Nov 01, 1991
SSA SSA 827 Authorization for Source to Release Information to SSA Form Only  Jun 01, 2006
SSA SSA- 832-C3/U3 Cessation or Continuance of Disability or Blindness Determination and Transmittal Form Only   
SSA SSA 8508 BK Supplemental Security Income, Quality Review Case Analysis Form Only  Jun 01, 2006
SSA SSA 871 State Agency Report of Obligations for SSA Disability Programs Both Form and Instructions  Jun 01, 2001
SSA SSA 95 EP Missing and Discrepant Wage Reports Letter and Questionnaire --- Missing and Discrepant Wage Reports Letter and Questionnaire --- Missing and Discrepant Wage Reports Letter and Questionnaire Form Only  Feb 01, 1992
SSA SSA 96 BK Instructions for Completion of Federal Assistance Application Form SSA-96 for SSA Research and Demonstration Grant Programs Both Form and Instructions  Mar 01, 2000
SSA SSA 97 EP Missing and Discrepant Wage Reports Letter and Questionnaire --- Missing and Discrepant Wage Reports Letter and Questionnaire --- Missing and Discrepant Wage Reports Letter and Questionnaire Both Form and Instructions  Feb 01, 1992
SSA SSA 9741 F3 Quarterly Statistical Report on Recipients and Payments under State-administered Assistance Programs for Aged, Blind, and Disabled Form Only  Mar 01, 2002
SSA Internet Direct Deposit Internet Direct Deposit Both Form and Instructions   
SSA SSA L2765 C1 Request for Self-Employment Both Form and Instructions  Feb 01, 1997
SSA SSA L2794 Real Property Current Market Value Estimate Form Only  Aug 01, 1989
SSA SSA L3231 C1 Employer Verification or Records for Children under Age 7 Both Form and Instructions  Apr 01, 1998
SSA SSA L3365 C1 Request for Self-Employment Both Form and Instructions  Feb 01, 1997
SSA SSA L4002 C1 Request for Self-Employment Both Form and Instructions  Feb 01, 1997
SSA SSA L4112 C1 Employer Verification of Earnings After Death Both Form and Instructions  Apr 01, 1999
SSA SSA L4163 Agency/Employer Questionnaire Both Form and Instructions  Dec 01, 2000
SSA SSA L4201 F4 Letter to Employer Requesting Wage Information Form Only  Jun 01, 2000
SSA SSA L4945 U2 Contact with Rep Payee, Contact with Beneficiary Form Only  Nov 01, 1982
SSA SSA L4947 U2 Contact with Rep Payee, Contact with Beneficiary Form Only  Sep 01, 1987
SSA SSA L5061 Letter to Landlord Requesting Rental Information Both Form and Instructions  Aug 01, 1996
SSA SSA L5063 Claimant's Statement About Loan of Food or Shelter Statement About Food or Shelter Provided to Another Form Only  Aug 01, 1994
SSA SSA L711 Request for Address Information from Employment Commissions Form Only  Sep 01, 1993
SSA SSA L712 Request for Address Information from Motor Vehicle Records Form Only  Sep 01, 1983
SSA SSA L8050 U3 Supplemental Security Income Claim Information Notice Both Form and Instructions  Dec 01, 1991
SSA SSA L8125 F6 SSI Notice of Interim Assistance Reimbursement Both Form and Instructions  Oct 01, 1997
SSA SSA L93 SM Missing and Discrepant Wage Reports Letter and Questionnaire --- Missing and Discrepant Wage Reports Letter and Questionnaire --- Missing and Discrepant Wage Reports Letter and Questionnaire Both Form and Instructions  Feb 01, 1993
SSA SSA L9778 SM-SUP Mid-Year Mailer Both Form and Instructions  Jul 01, 2004
SSA SSA L9779 SM-SUP Mid-Year Mailer Both Form and Instructions  Jul 01, 2004
SSA SSA L9781 SM Mid-Year Mailer Both Form and Instructions  Jun 01, 2002
SSA N/A EVS Registration Form Form Only   
SSA N/A Internet Application Status Both Form and Instructions   
SSA SSA i0554 Certificate of Coverage Request Both Form and Instructions  Aug 02, 2002
SSA SSA i0583 0 Request for Replacement SSA-1099/SSA-1042S Social Security Benefits Statement Both Form and Instructions   
SSA SSA i0595 Electronic Benefit Verification Information Both Form and Instructions   
SSA SSA i0618 Internet Social Security Benefit Application (ISBA) Both Form and Instructions   
SSA SSA i0650 Internet Social Security Disability Report (ISSDR) Both Form and Instructions   
SSA SSA i3820 Internet Social Security Disability Report - Child Both Form and Instructions   

 

More Social Security Answers

Social Security Questions and answers
In the news: Read Carols comments in this BankRate.com Social Security article


Thank you so much. The amount of infomation you provided on our call went a long way in helping to resolve the issues I had with the social security rep I was working with.
Tom F. 03-06-2020


Thank you so much. You provide a fantastic service and I really appreciate all your help. The next time I have a question regarding Social Security I will go to you first and save myself a lot of time.
Carol J. 02-23-2020


Thanks for the straight forward answers. It would have save a lot of time if I knew about this site months ago.
Emily D. 02-12-2020

Great talking with you and thanks for the help. Things now seem to be going in the right direction.
Chris H. 02-12-2020

Hello, thank you so much for responding to my inquiry, I really did not expect to get an answer from you so quickly. Brought the information you sent to my social security office an the issue, i have been dealing with for months, was resolved in an hour.
Veda M. 01-23-2020

Thank you so much for the reply.
Tom C. 12-24-2019

Thank you so much for returning my email so quickly.
Laverne J. 12-14-2019

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