Benefit Claims

SSA-3 MARRIAGE CERTIFICATION

SSA-11 Request to Be Selected As Payee

SSA-21 Supplement to Claim of Person Outside the United States

SSA-150 Modified Benefits Formula Questionnaire

SSA-308 Modified Benefits Formula Questionnaire Foreign Pension

SSA-521 Request for Withdrawal of Application

SSA-546 Worker's Compensation/Public Disability Questionnaire

SSA-671 Railroad Employment Questionnaire

SSA-723 Statement Regarding the Inferred Death of an Individual

SSA-781 Certificate of Responsibility for Welfare and Care of Child

SSA-783 Statement Regarding Contributions

SSA-788 Statement of Care and Responsibility for Beneficiary

SSA-789 Request for Reconsideration-Disability Cessation Right to Appear

SSA-795 Statement of Claimant or Other Persons

SSA-820 Work Activity Report (Self-Employed)

SSA-821 Work Activity Report Employee

SSA-827 Authorization to Disclose Information to SSA

SSA-1372BK Student's Statement Regarding School Attendance

SSA-2512 Pre-1957 Military Service Federal Benefit Questionnaire

SSA-2519 Child Relationship Statement

SSA-3369 Work History Report

SSA-3441BK Disability Report - Appeal

SSA-3820 Disability Report Child

SSA-3881 Questionnaire for Children Claiming SSI Benefits

SSA-3885 Government Pension Questionnaire

SSA-4162 Child Care Dropout Questionnaire

SSA-4184 Self Employment Corporate Officer Questionnaire

SSA-5665 Teacher Questionnaire

SSA-5666 Request for Administrative Information

SSA-7008 Request for Correction of Earnings Record

SSA-7104 Partnership Questionnaire

SSA-7156 Farm Self Employment Questionnaire

SSA-7157 Farm Arrangement Questionnaire

SSA-7163 Questionnaire About Employment or Self Employment Outside the US

SSA 7163A Statement Regarding Farming Activities of Persons Living Outside US