Form SSA-783. Statement Regarding Contributions

Form SSA-783, the Statement Regarding Contributions, is used to provide a statement regarding contributions made to a claimant's disability benefits. The main purpose is to document and verify financial contributions that can impact a claimant's eligibility and benefit amount.

An example scenario is when a claimant receives financial assistance from friends or family members, and this form is used to document those contributions. The benefit is to ensure that the SSA has accurate information for benefit calculations.

The parties involved include the claimant and the contributors. The form typically includes sections for detailing the contributions, including the source, amount, and frequency.