Who needs Form SSA-2490-BK?
Everyone who wants to claim for social benefits (totalization and regular) from the US needs to fill out Form SSA-2490-??. This form is used by a person or members of his family to receive social payments of different types.
What is Form SSA-2490-BK for?
This form is an of application used to claim for social benefits under any US Social Security agreement and foreign Social Security agreement. It’s printed in English and used only in SSA officers and US service posts. The information you provide while filling out this form is used by Social Security authorities in the US and foreign country to determine if you are entitled to benefits.
Is Form SSA-2490-BK accompanied by other forms?
The Form SSA-2490-BK must be accompanied by other documents if needed.
How do I fill Form SSA-2490-BK?
The form is divided into 2 parts. The person who claims for US benefits under any of the agreement has to fill out Part I. If the person claims for foreign benefits under any agreement, he or she has to fill out Part I and Part II (except such countries as Australia, Canada, Japan, South Korea and Spain - they have their own forms).
The applicant must provide the following information:
Personal information about the worker on whose record the claim is based
The worker’s social security information
Information about the worker’s employment or self-employment
Social security number of the worker
Information about the coverage
Benefits claimed from the foreign country and the US
After completing the form, you have to sign and date it.
Where do I send Form SSA-2490-BK?
Once signed and completed, the form SSA-2490-BK must be sent to your local Social Security Office.