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SOCIAL SECURITY ADMINISTRATION FORM APPROVED OMB NO. 0960-0444 TEL Do not write in this space. APPLICATION FOR SUPPLEMENTAL SECURITY INCOME I am/We are applying for Supplemental Security Income and any federally administered State supplementation under title XVI of the Social Security Act for benefits under the other programs administered by the Social Security Administration and where applicable for medical assistance under title XIX of the Soc...

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What is application for supplemental security?

Application for supplemental security is a form that needs to be filled out by individuals who are seeking extra financial help from the government.

Who is required to file application for supplemental security?

Individuals who are disabled, blind, or aged and have limited income and resources are required to file an application for supplemental security.

How to fill out application for supplemental security?

To fill out the application for supplemental security, you need to provide information about your personal details, income, resources, and medical conditions. You can either fill out the form online or visit your local Social Security office for assistance.

What is the purpose of application for supplemental security?

The purpose of the application for supplemental security is to determine if an individual qualifies for additional financial assistance from the government based on their disability, blindness, or age.

What information must be reported on application for supplemental security?

On the application for supplemental security, you need to report personal information such as your name, Social Security number, address, income, resources, and details about your medical conditions.

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