Form SSA-2855. Statement of Funds you Received
Form SSA-2855 is the Statement of Funds You Received. The main purpose of this form is to document and report any funds received by an individual or household, which may impact their eligibility for certain Social Security benefits.
Form SSA-4-BK. Application for Child's Insurance Benefits
Form SSA-4-BK, the Application for Child's Insurance Benefits, serves as the application form for child's insurance benefits under the Social Security program.
Form SSA-5-INST. Reporting Responsibilities for Mother's or Father's Insurance Benefits
Form SSA-5-INST, the Reporting Responsibilities for Mother's or Father's Insurance Benefits, provides instructions for individuals who are applying for Mother's or Father's Insurance Benefits.
Form SSA-3105. Important information about your appeal, waiver rights, and repayment options
Form SSA-3105, titled "Important Information about Your Appeal, Waiver Rights, and Repayment Options," is a notice provided by the Social Security Administration to individuals who are involved in an appeal or overpayment situation.
Form SSA-604. Certificate of Incapacity
Form SSA-604, the Certificate of Incapacity, serves as a medical certificate for individuals who are unable to manage their own Social Security benefits due to a mental or physical incapacity.
Form SSA-3033. Employee Work Activity Questionnaire
Form SSA-3033, the Employee Work Activity Questionnaire, is used to collect information about an individual's work activity while they are receiving disability benefits.
Form SSA-561-U2. Request for Reconsideration
Form SSA-561-U2, the Request for Reconsideration, serves as a formal request by individuals who have been denied Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits and wish to appeal the decision.
Form SSA-546. Worker's Compensation/Public Disability Questionnaire
Form SSA-546, the Worker's Compensation/Public Disability Questionnaire, serves as a tool to gather information regarding a claimant's receipt of workers' compensation or public disability benefits.
Form SSA-7104. Partnership Questionnaire
Form SSA-7104, the Partnership Questionnaire, is used to collect information from partnerships for tax and reporting purposes. The main purpose is to gather essential data to determine an individual's eligibility for Social Security benefits.
Form SSA-5-BK. Application for Mother's or Father's Insurance Benefits
Form SSA-5-BK, the Application for Mother's or Father's Insurance Benefits, serves as the formal application for individuals to claim insurance benefits based on the work history of their parents.