SSA-4-BK 2010 free printable template
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A Is there a legal representative guardian conservator curator etc. for any of the children in item 3 Form SSA-4-BK 12-2010 EF 12-2010 Destroy Prior Editions Page 1 MONTH DAY YEAR Yes If Yes complete b and c. 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 listed in item 3 below for all insurance benefits for which they may be eligible under Title...
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How to fill out SSA-4-BK
How to fill out SSA-4-BK
01
Obtain the SSA-4-BK form from the Social Security Administration website or local office.
02
Read the instructions carefully before filling out the form.
03
Provide personal information, including your name, date of birth, and Social Security number.
04
Indicate your relationship to the deceased individual.
05
Supply information about the deceased individual, including their name, Social Security number, and date of death.
06
Fill out sections regarding any benefits you are applying for.
07
Answer questions about your current marital status and dependents.
08
Sign and date the form.
09
Make a copy of the completed form for your records.
10
Submit the form to the SSA via mail or in person at your local office.
Who needs SSA-4-BK?
01
Individuals who are applying for survivor benefits from the Social Security Administration.
02
Family members or dependents of a deceased worker who had Social Security coverage.
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People Also Ask about
Can you get SSI for autism?
SSI is available to children with disabilities (including autism spectrum disorder or ASD) so long as they fulfill the program's medical eligibility and financial limit criteria.
What is the 5 year rule for Social Security disability?
No waiting period is required if you were previously entitled to disability benefits or to a period of disability under § 404.320 any time within 5 years of the month you again became disabled.
How much SSI can you get for autism?
The maximum SSI benefit amount for a child with autism in 2021 is $794 per month. However, the actual benefit amount a child receives may be less than this if their income or resources exceed the limits set by the SSA.
What is a SSA 4 form?
SSA-4-BK - Application for Child's Insurance Benefits.
Is it hard to get SSI for autism?
Financial limitations are the top reason why children with autism are denied SSI benefits. All parents with a child with autism that is under the age of 18 must meet the relevant financial requirements to access monthly benefits.
How much does a child with autism get from SSI?
The maximum SSI benefit amount for a child with autism in 2021 is $794 per month. However, the actual benefit amount a child receives may be less than this if their income or resources exceed the limits set by the SSA.
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What is SSA-4-BK?
SSA-4-BK is a form used by the Social Security Administration (SSA) to apply for Social Security benefits for a dependent child.
Who is required to file SSA-4-BK?
The form SSA-4-BK must be filed by a parent or legal guardian on behalf of a child who is seeking Social Security benefits due to the parent's disability, retirement, or death.
How to fill out SSA-4-BK?
To fill out SSA-4-BK, complete the form with the required personal information about the child, the parent or guardian, and other relevant details. Follow the instructions provided on the form carefully.
What is the purpose of SSA-4-BK?
The purpose of SSA-4-BK is to initiate the process of applying for Social Security benefits for a dependent child based on the eligibility of the parent or guardian.
What information must be reported on SSA-4-BK?
The information that must be reported on the SSA-4-BK includes the child's name, Social Security number, date of birth, parent or guardian information, and details pertaining to the reason for the claim.
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