Form SSA-1021-INST. Instructions for Completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs
Form SSA-1021-INST serves as instructions for completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs (Form SSA-1021).
Form SSA-1693. Fee Agreement for Representation Before the Social Security Administration
Form SSA-1693, the Fee Agreement for Representation Before the Social Security Administration, is used to formalize the fee arrangement between representatives and claimants for representing them before the SSA.
Form CMS-L564S. Solicitud De InformaciГіn Sobre El Empleo
Form CMS-L564S - Solicitud De InformaciГіn Sobre El Empleo is the Spanish version of Form CMS-L564. Just like its English counterpart, its primary purpose is to request employment information.
Form HA-501-U5. Request for Hearing by Administrative Law Judge
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.
Form SSA-131. Employer Report of Special Wage Payments
Form SSA-131, Employer Report of Special Wage Payments, is used by employers to report special wage payments made to employees. This form's primary purpose is to report specific types of wage payments that may impact a person's Social Security benefits or earnings record.
Form HA-4632. Claimant's Medications
Form HA-4632 - Claimant's Medications serves as a record of the medications used by a claimant who is seeking Social Security benefits.
Form SSA-1458. Certification By Religious Group
Form SSA-1458 is used for Certification By Religious Group. The main purpose of this form is to allow religious groups or organizations to certify that their members have religious objections to Social Security, Medicare, and/or employer withholding taxes.
Form SSA-1372-BK. Advanced Notice of Termination of Child's Benefits
Form SSA-1372-BK serves as an Advanced Notice of Termination of Child's Benefits. The main purpose of this form is to provide advanced notice to individuals who are receiving child's benefits, informing them of the impending termination of those benefits.
Form SSA-1696. Claimant's Appointment of Representative
Form SSA-1696, the Claimant's Appointment of Representative, is used by individuals seeking representation in their dealings with the SSA. Its main purpose is to allow claimants to officially appoint a representative to act on their behalf in SSA matters.
DA Form 4037-E. Officer Record Brief
The DA Form 4037-E, also known as the Officer Record Brief, is a critical document used in the United States Army to maintain a comprehensive and concise record of an officer's career and personal data.