Form SSA-8000-BK. Application for Supplemental Security Income (SSI)

Form SSA-8000-BK, the Application for Supplemental Security Income (SSI), is used to apply for SSI benefits. SSI provides financial assistance to individuals with limited income and resources who are aged, blind, or disabled. The main purpose is to apply for SSI benefits based on financial need and disability status.

An example scenario is when an individual with limited income and resources, who meets the age, blindness, or disability criteria, applies for SSI to receive financial assistance. The benefit is to provide financial support to those in need due to their limited income and disability status.

The parties involved include the applicant and the SSA. The form is structured to collect detailed financial and personal information to determine eligibility and benefit amount.