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SSA-1372-BK 2017 free printable template

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Form SSA-1372-BK 12-2017 UF Discontinue Prior Editions Social Security Administration Page 1 of 7 OMB No. 0960-0105 ADVANCE NOTICE OF TERMINATION OF CHILD S BENEFITS NAME AND ADDRESS SOCIAL SECURITY CLAIM NUMBER NAME OF CHILD BENEFICIARY TO WHOM THIS STATEMENT APPLIES DATE CHILD ATTAINS AGE 18 YOUR BENEFITS WILL AUTOMATICALLY STOP AT AGE 18 UNLESS You are a full-time student at an elementary or secondary school a secondary school is a school at or below the high school level or You qualify...
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How to fill out form ssa 1372 bk

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How to fill out SSA-1372-BK

01
Obtain the SSA-1372-BK form from the Social Security Administration website or a local SSA office.
02
Write your full legal name at the top of the form in the designated field.
03
Enter your Social Security number in the appropriate box.
04
Provide your date of birth and place of birth as requested.
05
Fill in your current address, including street, city, state, and ZIP code.
06
Indicate your phone number and email address for contact purposes.
07
Answer all questions regarding your employment history and income accurately.
08
Provide details about any disabilities or medical conditions affecting your work.
09
Review the completed form for accuracy and completeness.
10
Sign and date the form before submitting it to the appropriate SSA office.

Who needs SSA-1372-BK?

01
Individuals applying for Social Security disability benefits.
02
Applicants seeking a review of their disability status.
03
Workers who have experienced a change in their medical condition affecting their ability to work.
04
People who need to report additional income or changes in employment status.
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People Also Ask about ssa 1372 form download

How to complete an SSA 1372 (Step by Step) Name and address. Social security claim number. Name of child beneficiary to whom this statement applies. Date child attains age 18. Current school attendance. Whether you are in school full-time. Last school year. Signature of student. Certification by School Official.
Is enrolled in a day or evening non-correspondence course at least 13 weeks in duration; Is scheduled to attend at the rate of at least 20 hours weekly; and. Carries a subject load considered full-time for day students under the school's standards and practices.
Within a family, a child can receive up to half of the parent's full retirement or disability benefits. If a child receives survivors benefits, they can get up to 75% of the deceased parent's basic Social Security benefit.
The notice tells the payee that, if the child will be a student after age 18, the child must complete the SSA-1372 and return it to a local Social Security office before age 18.
You can apply: Online, if you are within 3 months of age 62 or older, 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.
This form contains the name, date of birth, and Social Security claim number of a child beneficiary who tells us that he/she is (or will be when school resumes) a full-time student at your school.

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SSA-1372-BK is a form used by the Social Security Administration (SSA) to collect information about a claimant's circumstances, including any changes that may affect their Social Security benefits.
Individuals who are receiving or applying for Social Security benefits and need to report changes in their status or circumstances are required to file SSA-1372-BK.
To fill out SSA-1372-BK, provide accurate and complete information as requested on the form, including personal details, income information, and any changes in your situation that may affect your benefits.
The purpose of SSA-1372-BK is to ensure that the Social Security Administration has up-to-date and accurate information about claimants, which helps in the proper determination and maintenance of benefits.
The information that must be reported on SSA-1372-BK includes personal identification details, income sources and amounts, changes in living arrangements, and any other relevant information that may affect benefits.
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