U.s. Social Security Administration Templates

Use this form in cases when you need to notify the Social Security Administration (SSA) about a change in income, as well as to request a reduction of the income-related monthly adjustment amount (IRMAA) of the Medicare premium based of a life-changing event.

The procuring data from this form is used by the Social Security Administration (SSA) to allow a third party to establish a link between a person's name and a social security number. This requirement is mandatory.

Use this form if you are the surviving spouse of a 100% insured wage earner and wish to claim the insurance benefits owed to your deceased spouse by the Social Security Administration (SSA).

File this form to request a reconsideration for a cessation of disability benefits.

Use this form to cancel the application for Social Security benefits you submitted.

Use this form to supply the Social Security Administration (SSA) with a signed statement when applying for Social Security benefits or Supplemental Security Income (SSI).

Use this form to supply the Social Security Administration (SSA) with written consent to release your personal information from medical, educational, and other required sources.

Download this form if you are an employer and need to report the special wages you pay to an employee.

With the help of this form, you can provide the Social Security Administration (SSA) with a written authorization to release your personal information to a third-party.

Use this form if you have a job and do not pay Social Security tax, in order to provide an explanation as to how your present job can affect your Social Security benefits.

Use this form if you wish to apply to be a representative payee. This is a relative or a friend who manages the benefits of a disabled person when they are unable to do so themselves or have difficulties in managing their money due to their condition.

Use this form to report an individual's working activity after the alleged onset date (AOD) to the Social Security Administration (SSA) in order to qualify for disability benefits.

Use this form if you are the subject of overpayments and wish to have Social Security Administration (SSA) reconsider their decision about repayments.

Download this form if you wish to make an online appeal of a Social Security Administration (SSA) decision regarding your benefit request.

Use this form to request detailed information about your earnings that affect your Social Security benefits and retirement amount.

Use this form to provide the Social Security Administration (SSA) with information for direct payments of an authorized fee.

Use this form to contest a decision regarding disability benefits by providing new information on your or the claimant's impairment.

Use this form while dealing with the Social Security Administration (SSA) to appoint a third-party representative to act on your behalf.

Use this form after you received a notice of Termination of Benefits from the Social Security Administration (SSA) for verifying your child's full-time attendance (FTA) at an educational institution and continuation of the FTA.

Use this form to claim for Social Security benefits or Medicare Premium refund that a deceased beneficiary may have been due prior to passing away.

Use this form if you are an adult and are claiming disability benefits. You can fill out the form yourself or have a representative help you out. It can be any person who is aware of your health issues, but it cannot be your doctor.

Use this form to supply the Social Security Administration (SSA) with detailed information about the jobs you have had in the past 15 years.

This form was used to determine if an individual was eligible for Social Security disability benefits.

Spanish-speaking applicants may use this form to give the Social Security Administration (SSA) permission to release the information from personal SSA files to a specific individual or group.

Use this form if you are an insured worker and received a notice of Termination of Benefits from the Social Security Administration (SSA). Fill out this form if you are eligible to continue to receive the benefits after your child turns 18.