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-2574. Information About Joint Checking/Savings Accounts Supplemental Security Income
Form SSA-2574, the Information About Joint Checking/Savings Accounts Supplemental Security Income, is used to gather information about joint checking or savings accounts that may affect eligibility for Supplemental Security Income (SSI).
Form SSA-1021. Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs
Form SSA-1021 - Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs serves as an appeal form. The main purpose of this form is to allow individuals to appeal a determination regarding their eligibility for Extra Help with Medicare prescription drug plan costs.
Form HA-4631. Claimant's Recent Medical Treatment
Form HA-4631 - Claimant's Recent Medical Treatment serves as a record of a claimant's recent medical treatment.
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 SSA-1414. Credit Card Payment Form
Form SSA-1414 serves as a Credit Card Payment Form. The primary purpose of this form is to provide a means for individuals to make payments to the Social Security Administration using a credit card.
Form SSA-10. Application for Widow's or Widower's Insurance Benefits
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.
Form SSA-2010. Statement for Determining Continuing Entitlement for Special Veterans Benefits (SVB)
Form SSA-2010, the Statement for Determining Continuing Entitlement for Special Veterans Benefits (SVB), is used to assess the continuing entitlement of special veterans' benefits provided to certain qualified individuals.
Form SSA-1696-SUP1. Claimant's Revocation of the Appointment of a Representative
Form SSA-1696-SUP1 serves as the Claimant's Revocation of the Appointment of a Representative. The primary purpose of this form is to allow claimants to revoke their appointment of a representative who was previously authorized to act on their behalf in Social Security matters.
Form SSA-2032-BK. Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate
Form SSA-2032-BK serves as the Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate.