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SSA-1724-F4 2024-2026 free printable template

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Form SSA1724F4 (102024) Discontinue Prior Editions Social Security AdministrationPage 1 of 3 OMB No. 09600101CLAIM FOR AMOUNTS DUE IN THE CASE OF A DECEASED BENEFICIARY PRINT NAME OF DECEASEDSOCIAL
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How to fill out ssa form 1724

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How to fill out social security claim form

01
Obtain the Social Security claim form from the Social Security Administration (SSA) website or local office.
02
Fill out your personal information including name, Social Security number, and contact details.
03
Provide details about your work history, including names of employers, dates of employment, and job titles.
04
Indicate the type of benefits you are applying for, such as retirement, disability, or survivor benefits.
05
Answer questions related to your medical history and, if applicable, provide medical documentation or details of healthcare providers.
06
Review the form carefully to ensure all information is accurate and complete.
07
Sign and date the form where indicated.
08
Submit the completed form online, by mail, or in person at your local SSA office.

Who needs social security claim form?

01
Anyone who is eligible for Social Security benefits, including retirees, disabled individuals, and survivors of deceased workers.
02
Individuals seeking to apply for Social Security Disability Insurance (SSDI).
03
Surviving family members applying for survivor benefits after the death of a worker.
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People Also Ask about ssa form 1724 f4

You can apply for benefits by calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or by visiting your local Social Security office. An appointment is not required, but if you call ahead and schedule one, it may reduce the time you spend waiting to apply.
In addition, a one-time lump sum death payment of $255 can be made to a qualifying spouse or child if they meet certain requirements. Survivors must apply for this payment within 2 years of the date of the number holder's death. You cannot apply for survivors benefits online.
Do we pay death benefits? A one-time lump-sum death payment of $255 can be paid to the surviving spouse if they were living with the deceased. If living apart and they were receiving certain Social Security benefits on the deceased's record, they may be eligible for the lump-sum death payment.
Form SSA-1724 | Claim For Amounts Due In The Case Of Deceased Beneficiary. A deceased beneficiary may have been due a Social Security payment and/or a Medicare Premium refund prior to or at the time of death.
To complete a Form SSA-1724, you need to provide the following information: Name of deceased. Social security number of deceased. Name of worker. Death date and state of residence of deceased. Name of applicant. Relationship to deceased. Next of kin or legal representative of deceased. Signature of applicant.
Form SSA-1724-F4 is also known as the Claim for Amounts Due in the Case of a Deceased Social Security Recipient. People should file this Form when a deceased relative was due to receive a payment from the Social Security Administration before their death.

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The social security claim form is a document used to apply for social security benefits, including retirement, disability, and survivor benefits.
Individuals who are seeking to receive social security benefits, such as retirees, disabled individuals, or surviving family members of deceased workers, are required to file a social security claim form.
To fill out the social security claim form, you need to provide personal information, work history, and details about your earnings and any other benefits you may be receiving. It can be completed online or by submitting a paper form.
The purpose of the social security claim form is to provide the Social Security Administration with the necessary information to assess an individual's eligibility for benefits and to determine the amount of benefits to be paid.
The social security claim form requires personal identification details, work history, earnings, any other benefits received, and information about dependents, if applicable.
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