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SSA-1724-F4 2012 free printable template

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NAME OF CHILD ADDRESS OF CHILD Include house number street apt. number P. O. Box rural route city state and ZIP code Form SSA-1724-F4 01-2010 EF 10-2012 Use Prior Editions Page 1 If any child listed in item 2 has a different name from that given at birth attach a separate sheet with the following information Child s Present Name Name Given At Birth and a brief explanation for the difference e.g. Marriage or Court Order. Form Approved OMB No* 0960-0101 Social Security Administration CLAIM FOR...
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How to fill out SSA-1724-F4

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How to fill out SSA-1724-F4

01
Obtain the SSA-1724-F4 form from the Social Security Administration's website or local office.
02
Fill out Section 1 with your personal information, including your name, address, and phone number.
03
In Section 2, provide the deceased person's information, such as their name, Social Security number, and date of death.
04
Complete Section 3 by indicating your relationship to the deceased and any supporting documentation.
05
If needed, fill out Section 4 regarding your claim for payment.
06
Review all your entries for accuracy.
07
Sign and date the form in Section 5.
08
Submit the completed form either by mailing it or delivering it to your local Social Security office.

Who needs SSA-1724-F4?

01
Individuals who are claiming past due benefits for a deceased person.
02
Family members or representatives of the deceased individual seeking to request payment.
03
Anyone authorized to act on behalf of the executor or administrator of the deceased person's estate.

Instructions and Help about SSA-1724-F4

You're applying for Social Security and you get a set of these forms to fill out in the mail hi I am Steven bender of bender and Alves we specialize in Social Security disability benefits and have advocated for thousands of clients over the years your immediate reaction when you get these forms is I've already answered all these questions I filled out these forms before and for most of you your disability isn't that you're bedridden or that you have a terminal illness it's that over time you've got a disability that prevents you from being a reliable employee you don't know how you're going to feel day-to-day so how do you answer a question like what do I do from the time I get up in the morning to the time that I go to bed well in a case like yours you answer it truthfully I do what my condition allows me to do from the moment I get up to the moment I go to bed that's a truthful answer can I wash dishes well I can wash dishes as my condition allows why do you answer these questions like this one because rather than the taking you 3 hours to write a novel it takes you about 10 or 15 minutes to re answer the question and condition it with as my condition allows, and it's a truthful answer and another reason you answer like this is because your answers are going to be consistent throughout the whole process another reason you answer a question like this in the condition like yours is because you don't want to say something that would equate to being able to do an eight-hour work day like while I take care of my kids sometimes I watch television sometimes I do hobbies sometimes judges might interpret that as saying well then if you can do that you can do an eight-hour day, but you know the reality every day is different some days you can't do much at all and no employer would allow you to miss a couple of days from work here and there or just take off in the middle of the day your claim is an unreliable employee who doesn't know how their conditions going to be on every given day if you want to learn more about Social Security disability benefits or veterans disability benefits subscribe to our you Paige watch our other videos look us up at bender — banter calm or call us at one eight hundred two eight six eight six eight six I am Steve bender of bender and Alice

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People Also Ask about

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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SSA-1724-F4 is a form used by individuals to provide information to the Social Security Administration (SSA) regarding the appointment of someone to receive Social Security benefits on behalf of a minor or an adult who cannot manage their benefits.
Individuals who wish to serve as a representative payee for a Social Security beneficiary, such as a minor child or an adult with disabilities, must file SSA-1724-F4.
To fill out SSA-1724-F4, the filer must provide personal information about themselves and the beneficiary, explain their relationship, and disclose any relevant details that could assist the SSA in making the appointment decision. It is important to follow the instructions provided on the form carefully.
The purpose of SSA-1724-F4 is to establish a legal appointment of a representative payee who will manage Social Security benefits for individuals who are unable to do so themselves.
The form requires reporting personal information of both the claimant and the proposed payee, including names, addresses, Social Security numbers, and details about the nature of the relationships.
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