| Online |
Apply for retirement, spouse's or Medicare benefits |
Online Forms |
| Online |
Apply for disability benefits |
Online Forms |
| Online |
Adult Disability Report |
Online Forms |
| Online |
Child Disability Report |
Online Forms |
| Online |
Appeal a recent medical decision |
Online Forms |
| Online |
Apply Online for Extra Help with Medicare Prescription Drug Plan Costs |
Online Forms |
| Online |
Get a replacement Medicare card |
Online Forms |
| Online |
Request a proof of Social Security benefits letter |
Online Forms |
| Online |
Request a form SSA-1099/1042 (Benefit Statement) for tax or other purposes |
Online Forms |
| Online |
Sign up for or change direct deposit |
Online Forms |
| Online |
Change address or telephone number |
Online Forms |
| Online |
Request special notices for the blind or visually impaired |
Online Forms |
| Online |
Representative Payee Accounting Report |
Online Forms |
| SSA-44 |
Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event |
Medicare |
| SSA-1020B-INST |
General Instructions for Completing the Application for Extra Help with Medicare Prescription Drug Plan Costs |
Medicare |
| SSA-1021 |
Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs |
Medicare |
| SSA-1021-INST |
Instructions for Completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs |
Medicare |
| SSA-1021-SP |
Apelación de la determinación para recibir el Beneficio Adicional con los gastos del plan de medicamentos recetados de Medicare |
Medicare |
| SSA-1021-INST-SP |
Instrucciones para llenar la apelación de la determinación para recibir el beneficio adicional con los gastos del plan de medicamentos recetados de Medicare |
Medicare |
| SSA-827 |
Authorization to Disclose Information to the Social Security Administration |
Disability |
| SSA-199 |
Vocational Rehabilitation Provider Claim |
Disability |
| SSA-545 |
Plan for Achieving Self-Support |
Disability |
| SSA-546 |
Worker's Compensation/Public Disability Questionnaire |
Disability |
| SSA-820 |
Work Activity Report (Self-Employed Person) |
Disability |
| SSA-821 |
Work Activity Report |
Disability |
| SSA-1365 |
State Agency Ticket Assignment Form Ticket To Work and Self Sufficiency Program |
Disability |
| SSA-3368 |
Disability Report - Adult |
Disability |
| SSA-3369 |
Work History Report |
Disability |
| SSA-3373 |
Function Report - Adult |
Disability |
| SSA-3375 |
Function Report - Child Birth to 1st Birthday |
Disability |
| SSA-3380 |
Function Report - Adult - Third Party Form |
Disability |
| SSA-3381 |
Medical and Job Worksheet Adult |
Disability |
| SSA-3820 |
Disability Report - Child |
Disability |
| SSA-3881 |
Questionnaire for Children Claiming SSI Benefits |
Disability |
| SSA-5665 |
Teacher Questionnaire |
Disability |
| SSA-561 |
Request for Reconsideration |
Reconsideration and Appeals |
| SSA-789 |
Request for Reconsideration - Disability Cessation |
Reconsideration and Appeals |
| SSA-3441 |
Disability Report - Appeal |
Reconsideration and Appeals |
| HA-501 |
Request for Hearing by Administrative Law Judge |
Reconsideration and Appeals |
| HA-520 |
Request for Review of Decision/Order of Administrative Law Judge |
Reconsideration and Appeals |
| HA-539 |
Notice Regarding Substitution of Party Upon Death of Claimant |
Reconsideration and Appeals |
| HA-4608 |
Waiver of Your Right to Personal Appearance Before an Administrative Law Judge |
Reconsideration and Appeals |
| HA-4631 |
Claimant's Recent Medical Treatment |
Reconsideration and Appeals |
| HA-4632 |
Claimant's Medications |
Reconsideration and Appeals |
| HA-4633 |
Claimant's Work Background |
Reconsideration and Appeals |
| SSA-3 |
Marriage Certification |
Benefit Application Supporting Forms |
| SSA-3-SP |
Certificación de Matrimonio |
Benefit Application Supporting Forms |
| SSA-11 |
Request to Be Selected As Payee |
Benefit Application Supporting Forms |
| SSA-21 |
Supplement to Claim of Person Outside the United States |
Benefit Application Supporting Forms |
| SSA-25 |
Certification of Election for Reduced Spouse's Benefits |
Benefit Application Supporting Forms |
| SSA-150 |
Modified Benefits Formula Questionnaire |
Benefit Application Supporting Forms |
| SSA-308 |
Modified Benefits Formula Questionnaire, Foreign Pension |
Benefit Application Supporting Forms |
| SSA-437 |
Complaint Form for Allegations of Discrimination in Programs or Activities Conducted by the Social Security Administration |
Benefit Application Supporting Forms |
| SSA-521 |
Request for Withdrawal of Application |
Benefit Application Supporting Forms |
| SSA-671 |
Railroad Employment Questionnaire |
Benefit Application Supporting Forms |
| SSA-723 |
Statement Regarding the Inferred Death of an Individual |
Benefit Application Supporting Forms |
| SSA-781 |
Certificate of Responsibility for Welfare and Care of Child |
Benefit Application Supporting Forms |
| SSA-783 |
Statement Regarding Contributions |
Benefit Application Supporting Forms |
| SSA-787 |
Physician's/Medical Officer's Statement of Patient's Capability to Manage Benefits |
Benefit Application Supporting Forms |
| SSA-795 |
Statement of Claimant or Other Persons |
Benefit Application Supporting Forms |
| SSA-1372 |
Advanced Notice of Termination of Child's Benefits |
Benefit Application Supporting Forms |
| SSA-1372-BK-FC |
Advanced Notice of Termination of Child's Benefits (Foreign Claims) |
Benefit Application Supporting Forms |
| SSA-2032 |
Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate |
Benefit Application Supporting Forms |
| SSA-2512 |
Pre-1957 Military Service Federal Benefit Questionnaire |
Benefit Application Supporting Forms |
| SSA-2519 |
Child Relationship Statement |
Benefit Application Supporting Forms |
| SSA-3885 |
Government Pension Questionnaire |
Benefit Application Supporting Forms |
| SSA-4111 |
Certification of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits |
Benefit Application Supporting Forms |
| SSA-5666 |
Request for Administrative Information |
Benefit Application Supporting Forms |
| SSA-7008 |
Request for Correction of Earnings Record |
Benefit Application Supporting Forms |
| SSA-7104 |
Partnership Questionnaire |
Benefit Application Supporting Forms |
| SSA-7156 |
Farm Self Employment Questionnaire |
Benefit Application Supporting Forms |
| SSA-7157 |
Farm Arrangement Questionnaire |
Benefit Application Supporting Forms |
| SSA-7163 |
Questionnaire About Employment or Self Employment |
Benefit Application Supporting Forms |
| SSA-7163A |
Supplemental Statement Regarding Farming Activities |
Benefit Application Supporting Forms |
| SSA-4 |
Application for Child's Insurance Benefits |
Other Forms |
| SSA-4-INST |
Reporting Responsibilities for Child's Insurance Benefits |
Other Forms |
| SSA-5 |
Application for Mother's or Father's Insurance Benefits |
Other Forms |
| SSA-5-INST |
Reporting Responsibilities for Mother's or Father's Insurance Benefits |
Other Forms |
| SS-5 |
Application for a Social Security Card |
Other Forms |
| SS-5-FS |
Application for a Social Security Card (Outside of the U.S.) |
Other Forms |
| SS-5-SP |
Solicitud Para una Tarjeta de Seguro Social |
Other Forms |
| SSA-7 |
Application for Parent's Insurance Benefits |
Other Forms |
| SSA-8 |
Application for Lump-Sum Death Payment |
Other Forms |
| SSA-10 |
Application for Widow's or Widower's Insurance Benefits |
Other Forms |
| SSA-89 |
Authorization for the Social Security Administration To Release Social Security Number (SSN) Verification |
Other Forms |
| SSA-117 |
How Are We Doing? |
Other Forms |
| SSA-131 |
Employer Report of Special Wage Payments |
Other Forms |
| SSA-604 |
Certificate of Incapacity |
Other Forms |
| SSA-632 |
Request for Waiver of Overpayment Recovery or Change in Repayment Rate |
Other Forms |
| SSA-L706 |
Letter to Custodian of Birth Records |
Other Forms |
| SSA-711 |
Request for Deceased Individual's Social Security Record |
Other Forms |
| SSA-714 |
You Can Make Your Payment By Credit Card |
Other Forms |
| SSA-721 |
Statement of Death by Funeral Director |
Other Forms |
| SSA-753 |
Statement Regarding Marriage |
Other Forms |
| SSA-753-SP |
Declaracion Acerca De Matrimonio |
Other Forms |
| SSA-754 |
Statement of Marital Relationship |
Other Forms |
| SSA-1383 |
Student Reporting Form |
Other Forms |
| SSA-1560 |
Petition to Obtain Approval of a Fee For Representing a Claimant Before the Social Security Administration |
Other Forms |
| SSA-1694 |
Request for Business Entity Taxpayer Information |
Other Forms |
| SSA-1695 |
Identifying Information for Possible Direct Payment of Authorized Fees |
Other Forms |
| SSA-1696 |
Appointment of Representative |
Other Forms |
| SSA-1699 |
Registration for Appointed Representative Services and Direct Payment |
Other Forms |
| SSA-1724 |
Claim For Amounts Due In Case Of A Deceased Beneficiary |
Other Forms |
| SSA-1945 |
Statement Concerning Your Employment In a Job Not Covered by Social Security |
Other Forms |
| SSA-2000 |
Application for Special Benefits for World War II Veterans |
Other Forms |
| SSA-3033 |
Retirement, Survivors and Disability Insurance Supplemental Security Income |
Other Forms |
| SSA-3105 |
Important information about your appeal, waiver rights, and repayment options |
Other Forms |
| SSA-3288 |
Consent for Release of Information |
Other Forms |
| SSA-4162 |
Child Care Dropout Questionnaire |
Other Forms |
| SSA-L4201 |
Letter to Employer Requesting Wage Information |
Other Forms |
| SSA-7050 |
Request for Social Security Earnings Information |
Other Forms |
| SSA-8202 |
Statement for Determining Continuing Eligibility for Supplemental Security Income Payment |
Other Forms |
