| SS-5 |
Application For Social Security Card |
| SS-5-FS |
Application for a Social Security Card from out of USA |
| SS-5-SP |
Solicitud Para una Tarjeta de Seguro Social |
| SSA-3 |
Marriage Certification |
| SSA-3-SP |
Certificación de Matrimonio |
| SSA-4 |
Application For Child's Insurance Benefits |
| SSA-4-INST |
Reporting Responsibilities For Child's Insurance Benefits |
| SSA-5 |
Application For Mother's Or Father's Insurance Benefits |
| SSA-5-INST |
Reporting Responsibilities For Mother's Or Father's Insurance Benefits |
| SSA-7 |
Application For Parents Insurance Benefits |
| SSA-8 |
Application For A Lump-Sum Death Payment |
| SSA-10 |
Application For Widow's Or Widower's Insurance Benefits |
| SSA-11 |
Request To Be Selected As Payee |
| SSA-21 |
Supplement To Claim Of Person Outside Of United States |
| SSA-25 |
Certification Of Election For Reduced Spouse's Benefits |
| HA-501 |
Request for a hearing by an administrative law judge |
| HA-4631 |
CLAIMANT'S RECENT MEDICAL TREATMENT |
| HA-4632 |
CLAIMANT'S MEDICATIONS |
| HA-4633 |
CLAIMANT'S WORK BACKGROUND |
| HA-520 |
Request for Review of Decision/Order of Administrative law judge |
| HA-539 |
Notice Regarding Substitution Of Party Upon Death Of Claimant |
| HA-4608 |
Waiver of Your Right to Personal Appearance Before an Administrative Law Judge |
| SSA-44 |
Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event |
| SSA-89 |
Authorization for Social Security Administration To Release Social Security Number Verification |
| SSA-117PC |
How Are We Doing? |
| SSA-131 |
Employer Report Of Special Wage Payments |
| SSA-150 |
Modified Benefit Formula Questionaire |
| SSA-199 |
Vocational Rehabilitation Provider Claim |
| SSA-308 |
Modified Benefit Formula Questionaire--Foreign Pension |
| SSA-437 |
Complaint Form For Allegations Of Discrimination In Programs Or Activities Conducted By SSA |
| SSA-521 |
Request For Withdrawal Of Application |
| SSA-545 |
Plan For Achieving Self-Support |
| SSA-546 |
Workers Compensation/Public Disability Benefit Questionnaire |
| SSA-561 |
Request For Reconsideration |
| SSA-604 |
Certificate Of Incapacity |
| SSA-632 |
Request For Waiver Of Overpayment Recovery Or Change In Repayment Rate |
| SSA-671 |
Railroad Employment Questionnaire |
| SSA-711 |
Request For Deceased Individual's Social Security Record |
| SSA-714 |
You Can Make Your Payment By Credit Card |
| SSA-721 |
Statement Of Death By Funeral Director |
| SSA-723 |
Statement Regarding The Inferred Death Of An individual By Reason Of Continued And Unexplained Absense |
| SSA-753 |
Statement Regarding Marriage |
| SSA-753-SP |
S14 Declaration Acerca De Matrimonio |
| SSA-754 |
Statement Of Marital Relationship By One Of The Parties |
| SSA-781 |
Certificate Of Responsibility For Welfare And Care Of Child Not In Applicant's Custody |
| SSA-783 |
Statement Regarding Contributions |
| SSA-787 |
Physician's / Medical Officer's Statement Of Patient's Capability To Manage Benefits |
| SSA-789 |
Request For Reconsideration - Disability Cessation |
| SSA-795 |
Statement Of Claimant Or Other Persons |
| SSA-827 |
Authorization to disclose information to the Social Security Administration (SSA) |
| SSA-1020B-INST |
General Instructions for Completing the Application for Extra Help With Paying For Prescription Drugs |
| SSA-1021 |
Appeal Of Determination For Extra Help With Medicare Prescription Drug Plan Costs |
| SSA-1021-INST |
Instructions for Completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs |
| SSA-1021-INST-SP |
Instrucciones para llenar la apelacion de la determination para recibir ayuda con los gastos de los planes de Medicamentos Recetados de Medicare |
| SSA-1021-SP |
Apelacion de la determination para recibir el Beneficio Adicional para los gastos del plan de medicamentos recetados de Medicare |
| SSA-1365 |
State Agency Ticket Assignment Form Ticket To Work And Self-Sufficiency Program |
| SSA-1372 |
Advance Notice Of Termination Of Child's Benefits |
| 1372-BK-FC |
Advance Notice Of termination Of Child's Benefits (Foreign Claims) |
| 1383 |
Student Reporting Form |
| SSA-1560 |
Petition To Obtain Approval Of A Fee For Representing A Claimant Before The SSA |
| SSA-1694 |
Request For Business Entity Taxpayer Information |
| SSA-1695 |
Identifying Information For Possible Direct Payment Of Authorized Fees |
| SSA-1696 |
Appointment of Representative |
| SSA1699 |
Registration For Appointed Representative Services And Direct Pay |
| SSA-1724 |
Claim For Amounts Due In Case Of A Deceased Beneficiary |
| SSA-1945 |
Statement Concerning Your Employment In A Job Not Covered By Social Security |
| SSA-2000 |
Application For Special Benefits For World War 2 Veterans |
| SSA-2032 |
Request For Waiver Of Special Veterans Benefits (SVB) Overpayment Recovery Or Change In Repayment Rate |
| SSA-2512 |
Pre-1957 Military Service Federal Benefit Questionnaire |
| SSA-2519 |
Child Relationship Statement |
| SSA-3033 |
Retirement, Survivors And Disability Insurance Supplement Security Income |
| SSA-3105 |
Important Information About Your Appeal, Waiver Rights, And Repayment Options |
| SSA-3288 |
Consent For Release Of Information |
| SSA-3368 |
Disability Report - Adult |
| SSA-3369 |
Work History Report |
| SSA-3373 |
Function Report - Adult |
| SSA-3375 |
Function Report - Child To 1st Birthday |
| SSA-3380 |
Function Report - Adult - Third Party Form |
| SSA-3381 |
Medical And Job Worksheet Adult |
| SSA-3441 |
Disability Report - Appeal |
| SSA-3820 |
Disability Report - Child |
| SSA-3881 |
Questionnaire For Children Claiming SSI Benefits |
| SSA-3885 |
Government Pension Questionnaire |
| SSA-4111 |
Certification Of Election For Reduced Widow(er)'s And Surviving Divorced Spouse's Benefits |
| SSA-4162 |
Childcare Dropout Questionnaire |
| SSA-5665 |
Teacher Questionnaire |
| SSA--5666 |
Request For Administrative Information |
| SSA-7008 |
Request For Corrections Of Earnings Record |
| SSA-7050 |
Request For Social Security Earnings Information |
| SSA-7104 |
Partnership Questionnaire |
| SSA-7156 |
Farm Self Employment Questionnaire |
| SSA-7157 |
Farm Arrangement Questionnaire |
| SSA-7163 |
Questionnaire About Employment Or Self-Employment Outside The United States |
| SSA-7163A |
Supplemental Statement Regarding Farming Activities Of Person Living Outside The U.S.A. |
| SSA-8202 |
Statement For Determining Eligibility For Supplemental Security Income Payment |
| SSA-L706-F3 |
Letter To Custodian Of Birth Records |
| SSA-L4201 |
Letter To Employer Requesting Wage Information |
