SSA-795 2015 free printable template

Form Approved OMB No. 0960-0045 Social Security Administration STATEMENT OF CLAIMANT OR OTHER PERSON Name of Wage Earner Self-employed Person or SSI Claimant Name of Person Making Statement If other than above wage earner self-employed person or SSI claimant Relationship to Wage Earner Self-Employed Person or SSI Claimant Understanding that this statement is for the use of the Social Security Administration I hereby certify that - Form SSA-795 09-2015 ef 09-2015 Destroy Prior Editions I...

How to fill out ssa 795

How to fill out SSA-795

1. Begin by downloading the SSA-795 form from the official Social Security Administration website.
2. Write your personal information at the top of the form, including your name, Social Security number, and date of birth.
3. In Section 1, provide a clear and detailed description of the issue or event you are reporting.
4. In Section 2, explain how this issue affects the benefits or services you receive from Social Security.
5. Review your information for accuracy and completeness.
6. Sign and date the form at the bottom.
7. Submit the completed form to your local Social Security office or mail it to the address indicated on the form.

Who needs SSA-795?

1. Individuals who need to report an event or issue that affects their Social Security benefits.
2. Claimants seeking to provide information required for a Social Security claim or appeal.
3. Anyone who has experienced a change in circumstances that impacts eligibility for benefits.

• Who needs an SSA-795 form?
• Why should I use the SSA-795?
• Is the SSA-795 accompanied by other forms?
• Does the SSA-795 have a validity period?
• • What information should be provided in the SSA-795 form?
  • Where do I send the SSA-795 form?

Who needs an SSA-795 form?

If you claim supplemental security income (SSI) benefits, you have to fill out the Application for Supplemental Security Income form that suits your case. While completing the form you (or the person who completes the form on your behalf) may need additional space for remarks and statements. In this case, you have to use the SSA-796 form — Statement of a Claimant or Other Person.

Why should I use the SSA-795?

This form is used whenever there is a need to provide a signed statement. The claimant or other person may need to make a statement on the following occasions: on legal and equitable adoption, about divorce and termination of prior marriage, if there is a conflict in the evidence, etc. The form will help the Social Security Administration make the right decision on the individual’s case.

Is the SSA-795 accompanied by other forms?

The statement is always accompanied by other forms, as it serves as just a part (evidence) of the certain claim or application.

Does the SSA-795 have a validity period?

The statement is valid only with the form it supports.

What information should be provided in the SSA-795 form?

The filler must type the name of the wage earner, self-employed person or claimant, and his/her Social Security Number. If the claimant and person who is making the statement are different people, the filler adds his/her personal information as well. Then there is a space for the statement text.

The person who is making the statement must sign and date the form and add the appropriate phone number and mailing address. If a witness is required, he should also sign the form and type his addresses.

Where do I send the SSA-795 form?

The statement is forwarded to the local Social Security Office

Instructions and Help about ssa 795

Hi there this is Jonathan Ginsberg I'm a social security disability attorney, and today I'd like to talk to you about Social Security disability forms all those forms you have to fill out when you apply for disability you file appeals and if you've been in this at all you know that there is well over 100 pages of forms, and they just seem to be endless asking the same questions over and over, and I actually wrote a book about these forms called the disability answer guide which you can see at WWDC ability forms calm, so I do look at these forms a good bit when I update the book, so I see what Social Security is doing what they're asking, and I think that you may found my perspective a little helpful here so first just to give you some perspectives understand that Social Security the people who make these forms up these nameless people up in Washington who do this they don't ever consolidate what they're asking they basically asked the same questions over and over, and they keep adding questions to these forms so three or four years ago we might have a form that was say three pages now it's five pages three or four years ago a five-page form has turned into now a seven-page form, and they just asked the same questions over and over and over, so it's not really your imagination when you look at these forms, and you see that Social Security seems to be asking you the same thing over and over and over what part of your body hurts how does it impact you and so forth, so that's one of the things you need to realize and just deal with that there's nothing we can do about that the forms are really asking the same questions over and over and over I think it's very important that when you complete the forms you keep in mind the definition of disability because everything you say in these forms really needs to be focused on proving one thing and that is that you meet Social Security's definition of disability which of course is that you do not have the capacity to perform the duties of a simple entry-level job, so this is not about what you can or cannot do around your house, or it's not about what you can or cannot do in a past job this is basically saying if there was a simple entry-level job, or basically you had to show up and be breathing what I call a warm body job could you perform the duties of the job and that's really what these forms are to get at so when you answer the questions in the forms don't say things like I can't lift very much, or I can't walk very far you want to be very, very specific and talk about those things that you can or cannot do that would have relevance in a work setting for example if you have limitations on lifting talk about how you can only lift five to seven pounds maybe once or twice a day if you're talking about walking that your capacity to walk has been reduced so that you're going back and forth to the mailbox which was maybe 15 or 20 yards you became become fatigued after doing that if the problem is more mental...

People Also Ask about

Can I check my Social Security account online?

You can get your Social Security Statement (Statement) online by using your personal my Social Security account. Your online Statement gives you secure and convenient access to estimates for retirement, disability, and survivors benefits you and your family may be eligible for.

Can you submit Social Security forms online?

Today, you can apply for retirement, disability, and Medicare benefits online, check the status of an application or appeal, request a replacement Social Security card (in most areas), print a benefit verification letter, and more – from anywhere and from any of your devices!

How do I submit documents to Social Security?

You can upload documents by using the Send Response for Individual Case link on the Electronic Records Express Home page. The upload function is also available while accessing a claimant's electronic folder through the Access Claimant's Electronic Folder link.

How do I submit a form to Social Security?

You can upload documents by using the Send Response for Individual Case link on the Electronic Records Express Home page. The upload function is also available while accessing a claimant's electronic folder through the Access Claimant's Electronic Folder link.

Can you fill out a Social Security form online?

Adults filing online now can use a click-and-sign process, while those filing by telephone or in person can use our attestation process to sign and submit their SSA-827.

Can I fill out my Social Security application online?

Today, you can apply for retirement, disability, and Medicare benefits online, check the status of an application or appeal, request a replacement Social Security card (in most areas), print a benefit verification letter, and more – from anywhere and from any of your devices!

How do I complete my Social Security application?

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. Call ahead to make an appointment. If you do not live in the U.S. or one of its territories, you can also contact your nearest U.S.

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What is SSA-795?

SSA-795 is a form used by the Social Security Administration (SSA) to collect information about an individual's mental impairments and their impact on daily functioning.

Who is required to file SSA-795?

Individuals applying for Social Security benefits due to mental impairments are required to file SSA-795.

How to fill out SSA-795?

To fill out SSA-795, provide clear and concise information about the individual’s mental impairments, functional limitations, and how these conditions affect daily living activities.

What is the purpose of SSA-795?

The purpose of SSA-795 is to document the severity of mental impairments and to assess how these impairments affect an individual's ability to work and carry out daily tasks.

What information must be reported on SSA-795?

SSA-795 requires information on the individual's mental health history, specific impairments, treatment received, and the impact of these impairments on daily activities and work ability.