Form SSA-5-BK, Application for Mother's or Father's Insurance Benefits, is a legal document completed by surviving spouses and surviving divorced spouses of insured wage-earners to qualify for insurance benefits in order to take care of the deceased workers' children and grandchildren.
This form was released by the Social Security Administration (SSA). The latest version of the form was issued on October 1, 2018, with all previous editions obsolete. You can download a fillable SSA-5-BK Form through the link below. Applicants must comply with the following requirements to be eligible for insurance benefits: