Form SSA-781. Certificate of Responsibility for Welfare and Care of Child

Form SSA-781, the Certificate of Responsibility for Welfare and Care of Child, serves as a statement confirming the responsible party's commitment to the welfare and care of a child. It is used for matters related to child benefits. The main purpose is to ensure that the child's needs are met by a responsible party, such as a representative payee.

An example scenario is when a relative or guardian is appointed as a representative payee for a child receiving Social Security benefits. This form helps formalize their commitment to the child's well-being. The benefit is to provide a legally documented responsibility statement.

The parties involved include the responsible party (often a parent or guardian), the child receiving benefits, and the SSA. The form may contain sections for providing information about the child, the responsible party, and their responsibilities.