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APPLICATION FOR SURVIVOR BENEFITS Spouse Fire Police SECTION I: RETIRED (DECEASED) MEMBER INFORMATION Retiree Name: Social Security Number: Date of Birth: Date of Death: SECTION II: QUALIFIED SPOUSE
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How to fill out application for survivor benefits

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How to fill out an application for survivor benefits:

01
Visit the official website of the Social Security Administration (SSA) or go to your nearest SSA office to obtain the application form for survivor benefits.
02
Provide your personal information such as your full name, Social Security number, date of birth, and contact information.
03
Indicate your relationship to the deceased individual for whom you are applying for survivor benefits (e.g., spouse, child, parent).
04
Provide information about the deceased person, including their full name, Social Security number, date of birth, date of death, and their relationship to you.
05
Attach the required documentation, such as a death certificate or proof of relationship (e.g., marriage certificate, birth certificate).
06
If you are applying as a surviving spouse, you may need to provide additional details about your marital history, including previous marriages and divorces.
07
Provide information about your current employment status, income, and any pensions or other benefit payments you currently receive.
08
Indicate if you have applied for or are receiving any other benefits from the SSA, such as retirement or disability benefits.
09
Sign and date the application form, certifying that the information you provided is true and accurate to the best of your knowledge.
10
Submit the completed application form along with any required documentation either by mail or in person at your local SSA office.

Who needs an application for survivor benefits?

01
Spouses who have lost their husband or wife.
02
Children whose parents have passed away.
03
Parents who have lost a dependent child.
04
Other dependents such as grandchildren, stepchildren, or adopted children who relied on the deceased person for financial support.
It is important to note that eligibility for survivor benefits may vary depending on the specific circumstances and the relationship to the deceased individual. It is recommended to consult with the Social Security Administration or seek professional assistance to ensure accurate completion of the application and to determine eligibility for survivor benefits.
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The application for survivor benefits is a form that allows eligible individuals to apply for benefits based on the work record of a deceased worker.
Surviving spouses, children, and dependent parents of a deceased worker are typically required to file an application for survivor benefits.
The application for survivor benefits can be filled out online through the Social Security Administration website, in person at a local Social Security office, or over the phone with a representative.
The purpose of the application for survivor benefits is to provide financial support to the surviving family members of a deceased worker.
The application for survivor benefits requires information such as the deceased worker's Social Security number, date of birth, date of death, and details about the surviving family members.
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