Form SSA-1372-BK Advance Notice of Termination of Child's Benefits

Form SSA-1372-BK Advance Notice of Termination of Child's Benefits

What Is Form SSA-1372?

Form SSA-1372-BK, Advanced Notice of Termination of Child's Benefits, is a document used for developing beneficiary students' Full-Time Attendance (FTA) at an educational institution and verifying their continuing FTA. You will receive advance notice of termination of the child's benefits three months before age 18. The document will contain a detailed explanation of the condition under which you can continue to receive your benefits after age 18. Here you will find steps you must undertake in order to continue your entitlement.

Alternate Names:

  • SSA Form 1372-BK;
  • Form SSA-1372;
  • Social Security Termination of Child Benefits Form.

The form was issued by the U.S. Social Security Administration (SSA) on . Form SSA-1372-BK fillable version can be downloaded below. Form SSA-1372-BK-FC, Advanced Notice of Termination of Child's Benefits (Foreign Claims), is a related form completed to verify FTA if the student attends a school outside the United States.

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Form SSA-1372-BK Instructions

Form SSA-1372-BK must be completed by you and the school official. It is your responsibility to ensure the school official completes the required form and to submit the completed and certified pages of the document to the SSA. You can find detailed filing instructions on the first page of the form and on the SSA website. Step-by-step instructions are provided below.

How to Fill Out Form SSA-1372-BK?

Form SSA-1372-BK consists of 7 pages in total. Only two of them (pages 2 and 3) should be completed and returned to the SSA. The student has to fill out page 2 of the form ("Student's Statement Regarding School Attendance") as follows:

  1. Provide information about your current school attendance. Indicate the school's name, address, dates of beginning and termination of the school year, type of school program, number of hours per week you are required to attend school, your secondary school expected graduation date, and months during which you will not be at FTA.
  2. Indicate the details about the last school year, including the school's name, address, past dates of attendance, type of school program, and the number of hours per week you had to attend.
  3. Specify if you are disabled. Specify if you are married.
  4. Provide the information on your expected earnings.
  5. Specify if the employer pays you for attending school.
  6. Specify if you have a bank account. If yes, attach a copy of a savings account statement or a voided check with your name on it to the form.
  7. Specify if you have any unsatisfied warrant for arrest for a crime or crime attempt.
  8. Sign the document. Provide your contact information and indicate the completion date.

Take the form to the school official for certification. The school official must review the information you have provided on page 2, certify page 3, Certification by School Official, and return both pages. Besides, the school official is required to detach and keep pages 4 and 5. Page 4 ("Notice of Cessation of Full-Time School Attendance") will be completed and returned to the SSA when you cease to be in FTA.

You should detach and keep pages 6 and 7 with the information about benefits and responsibilities for future references. You are not obliged to complete the form. However, failure to submit it is considered as a failure to establish FTA and leads to termination of your benefits.

Where to Send Form SSA-1372-BK?

Mail the completed form in the enclosed envelope to your local Social Security office for processing. The address of your local Social Security office should be printed on the form. If the address is missing, you can obtain it from the SSA official website.

Download Form SSA-1372-BK Advance Notice of Termination of Child's Benefits

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