SSA-1724-F4 2016 free printable template

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...

How to fill out SSA-1724-F4

How to fill out SSA-1724-F4

1. Obtain a copy of the SSA-1724-F4 form from the Social Security Administration website or local office.
2. Read the instructions carefully to understand the information required.
3. Fill out the claimant's name, Social Security number, and the date of death of the deceased worker in the appropriate fields.
4. Provide your relationship to the deceased, and any relevant details about the claimant's status.
5. Sign and date the form to certify that the information is true and accurate.
6. Submit the completed SSA-1724-F4 form to the Social Security Administration by mail or in person.

Who needs SSA-1724-F4?

1. Individuals who are claiming Social Security benefits on behalf of a deceased worker.
2. Family members or representatives of deceased workers who need to file a claim for Social Security benefits.

People Also Ask about

How do I claim my $255 death benefit?

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.

Do you have to apply for the $255 Social Security death benefit?

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.

Does everyone get the $255 death benefit from Social Security?

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.

What is an SSA-1724 form?

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.

How to fill out SSA-1724 form?

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.

Do you have to fill out SSA-1724?

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.

For pdfFiller’s FAQs

How can I send SSA-1724-F4 for eSignature?

When you're ready to share your SSA-1724-F4, you can send it to other people and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail. You can also notarize your PDF on the web. You don't have to leave your account to do this.

How do I edit SSA-1724-F4 straight from my smartphone?

The easiest way to edit documents on a mobile device is using pdfFiller’s mobile-native apps for iOS and Android. You can download those from the Apple Store and Google Play, respectively. You can learn more about the apps here. Install and log in to the application to start editing SSA-1724-F4.

How do I edit SSA-1724-F4 on an Android device?

With the pdfFiller Android app, you can edit, sign, and share SSA-1724-F4 on your mobile device from any place. All you need is an internet connection to do this. Keep your documents in order from anywhere with the help of the app!

What is SSA-1724-F4?

SSA-1724-F4 is a form used by the Social Security Administration (SSA) to report the circumstances of a deceased individual's death and to claim benefits on behalf of their estate.

Who is required to file SSA-1724-F4?

The SSA-1724-F4 form must be filed by the executor or administrator of the deceased person's estate, or by someone managing the estate on behalf of the beneficiaries.

How to fill out SSA-1724-F4?

To fill out SSA-1724-F4, provide the requested information about the deceased individual, the reason for filing, and the personal details of the claimant. Follow the instructions provided with the form carefully.

What is the purpose of SSA-1724-F4?

The purpose of SSA-1724-F4 is to facilitate the proper distribution of Social Security benefits upon the death of an individual and to ensure that any outstanding benefits are appropriately handled.

What information must be reported on SSA-1724-F4?

The SSA-1724-F4 requires information such as the deceased person's Social Security number, date of birth, date of death, information about the claimant, and any relevant details related to the estate and benefits.