Form SSA-5062. Claimant's Statement about Loan of Food or Shelter

Form SSA-5062, Claimant's Statement about the Loan of Food or Shelter, is used to collect information from Supplemental Security Income (SSI) applicants or beneficiaries regarding the receipt of food or shelter. The main purpose of this form is to assess the value of support and maintenance that a claimant receives from others, which may affect their SSI eligibility and benefit amount.

For instance, SSI applicants or beneficiaries can use this form to report details about the food and shelter they receive from others, such as family members or friends. The information collected helps the SSA determine the value of these items and adjust the SSI benefits accordingly. Accurate reporting is crucial to ensure the proper calculation of SSI benefits.

The parties involved are SSI applicants or beneficiaries and the SSA. The form typically includes sections for reporting details about the source and value of food and shelter received. It's important to provide accurate and comprehensive information to avoid overpayment or underpayment of SSI benefits.