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TEL Social Security Administration Form Approved OMB No. 0960-0010 TOE 120/145/155 (Do not write in this space) APPLICATION FOR CHILD'S INSURANCE BENEFITS I apply on behalf of the child or children
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How to fill out form ssa -4- bk

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How to fill out form SSA-4-BK:

01
Obtain a copy of form SSA-4-BK, also known as the Application for Child's Insurance Benefits.
02
Read the instructions carefully to understand the requirements and gather all the necessary information and documents.
03
Provide your personal information, such as your name, date of birth, and Social Security number, as well as information about the child for whom you are applying for benefits.
04
Answer all the questions accurately and completely, including details about the child's relationship to the worker, any other benefits the child may be receiving, and any work or disability-related information.
05
If there are any additional documents required, such as birth certificates, tax records, or medical reports, make sure to include them with the application.
06
Review the completed form to ensure there are no mistakes or missing information. Sign and date the form.
07
Make a copy of the completed form and all supporting documents for your records before submitting it.
08
Submit the application by mail or in person to your local Social Security Administration office.

Who needs form SSA-4-BK:

01
Parents or legal guardians who are applying for child's insurance benefits on behalf of a dependent child.
02
Individuals who are applying for benefits on behalf of a child who is disabled or has lost a parent working under Social Security.
03
Applicants who meet the eligibility criteria for child insurance benefits under the Social Security program.
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People Also Ask about

Form SSA-1 | Information You Need To Apply For Retirement Benefits Or Medicare. You can apply: Online; or. By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office.
Social Security uses the Work Activity Report form to learn more about the work activity of a disability applicant or beneficiary. If you are applying for disability benefits, the information you provide will help us decide if you can receive benefits.
With this application, you are applying on behalf of the child or children listed in item 3 below for all insurance benefits for which they may be eligible under Title II (Federal Old-Age, Survivors and Disability Insurance) of the Social Security Act as presently amended.
What is a Social Security Benefit Statement? A Social Security 1099 or 1042S Benefit Statement, also called an SSA-1099 or SSA-1042S, is a tax form that shows the total amount of benefits you received from Social Security in the previous year.
The Social Security Administration (SSA) will use my authorization to obtain wage and employment information from payroll data providers. Payroll data providers are payroll providers, wage verification companies, and other entities that collect and maintain data about employment wages.
This form is requested when SSA has information about work activity after the alleged onset date, which is the date provided on the SSA application forms of when the applicant alleges his/her disability became severe enough to prevent him/her from working at an SGA level.

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Form SSA-4-BK is an application form used for requesting a Social Security card, specifically for individuals applying as adults who do not have an original card.
Individuals who are adults and need to apply for a Social Security card for the first time or who need a replacement card must file Form SSA-4-BK.
To fill out Form SSA-4-BK, applicants must complete all required fields, including personal information such as name, date of birth, and address, and provide necessary identification documents as listed in the form's instructions.
The purpose of Form SSA-4-BK is to provide a formal request for the issuance of a Social Security card to individuals who do not already have one or need a replacement.
On Form SSA-4-BK, applicants must report their full name, date of birth, place of birth, parents' information, and details regarding any previous Social Security number, if applicable.
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