Social Security Administration

Form SSA-10 - Application for Widow's or Widower's Insurance Benefits is used to apply for survivor's benefits based on the record of a deceased spouse. Its main purpose is to provide surviving spouses with a means to claim Social Security benefits based on their deceased spouse's earnings record.

For example, a widow or widower whose spouse has passed away and was eligible for Social Security benefits might use this form to apply for survivor's benefits. The form's purpose is to offer financial assistance to individuals who have lost their spouse and relied on their income.

Form IRS W-4V - Voluntary Withholding Request serves as a request for voluntary tax withholding. The primary purpose of this form is to allow individuals receiving Social Security benefits to request the withholding of federal income tax from their benefits payments.

Form HA-86 - Discontinue Prior Editions is used to inform the Social Security Administration of the discontinuation of prior editions of forms. Its main purpose is to notify the agency that certain older editions of forms are no longer in use or valid.

For example, if there have been updates or changes to a particular form, this form would be used to officially discontinue the older editions, ensuring that individuals and the agency are using the most up-to-date forms. The form's purpose is to help maintain consistency and accuracy in form usage.

Form HA-85 - Request to Withdraw a Hearing Request serves as a request to withdraw a previously submitted hearing request. The primary purpose is to allow individuals to voluntarily withdraw their request for a hearing before an Administrative Law Judge in Social Security benefit cases.

For instance, if a claimant has requested a hearing but decides they no longer wish to pursue it, they would use this form. The form's purpose is to provide a formal request to withdraw the hearing request, allowing the claimant to halt the process without proceeding to a hearing.

Form HA-539 - Notice Regarding Substitution of Party Upon Death of Claimant is used to notify the Social Security Administration about the substitution of a party following the death of a claimant. The main purpose is to inform the agency of the change in claimant status due to the claimant's death.

Form HA-520 - Request for Review of Hearing Decision/Order serves as a request for a review of a hearing decision or order. Its primary purpose is to allow individuals to request a review when they disagree with the decision made by an Administrative Law Judge concerning their Social Security benefits.

For example, if a claimant is dissatisfied with the outcome of a hearing regarding their benefits and believes that the decision was not fair or accurate, they would use this form. The form's purpose is to initiate a process for a higher-level review of the hearing decision.

Form HA-510 - Waiver of Timely Written Notice of Hearing is used when a claimant wishes to waive their right to timely written notice of a hearing. This waiver can be useful when the claimant wants to expedite the hearing process or is willing to proceed without the usual notice period.

For instance, a claimant who is eager to have their case heard and is willing to waive the standard notice period may use this form. The purpose is to allow individuals to voluntarily forgo the typical notice requirements and move forward with a hearing more quickly.

Form HA-501-U5 - Request for Hearing by Administrative Law Judge is used when an individual wishes to request a hearing before an Administrative Law Judge regarding their Social Security benefits. The primary purpose of this form is to initiate the process of requesting a hearing to address benefit-related issues.

Form HA-4633 - Claimant's Work Background is used to record a claimant's work history and background. Its main purpose is to document the claimant's work experience, which is crucial information for evaluating their eligibility for Social Security benefits.

For example, a claimant applying for disability benefits may complete this form to provide a detailed account of their work history, including job duties and responsibilities. The form's purpose is to help adjudicators assess how the claimant's work background aligns with their current medical condition and ability to work.

Form HA-4632 - Claimant's Medications serves as a record of the medications used by a claimant who is seeking Social Security benefits. The primary purpose of this form is to document the medications the claimant is taking, as it can be relevant information for assessing the impact of medical conditions on the individual's ability to work.