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Form SSA795 (062022) UF Discontinue Prior Editions Social Security AdministrationPage 1 of 2 Form Approved OMB No. 09600045STATEMENT OF CLAIMANT OR OTHER PERSON Name of Wage Earner, Selfemployed Person,
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How to fill out security form ssa 795

01
Obtain the SSA-795 form from the Social Security Administration's website or local office.
02
Read the form instructions carefully before starting.
03
Fill in your personal information at the top of the form, including your name, Social Security number, and contact information.
04
In the body of the form, clearly explain the reason for the request and provide detailed information.
05
Include any relevant dates, locations, and descriptions related to your situation.
06
Sign and date the form at the bottom.
07
Review the form to ensure all fields are completed accurately.
08
Submit the completed form by mail or in person to the appropriate SSA office.

Who needs security form ssa 795?

01
Individuals who need to provide a statement regarding their identity or situation to the Social Security Administration.
02
People applying for Social Security benefits or services that require additional clarification or evidence.
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Security Form SSA 795 is a statement form used by the Social Security Administration to report facts relevant to claims for Social Security benefits.
Individuals applying for Social Security benefits or those with pending claims may be required to file Form SSA 795 to provide additional information.
To fill out Form SSA 795, follow the instructions provided on the form, ensure that all required fields are completed, and provide accurate details related to the claim.
The purpose of Form SSA 795 is to provide necessary information and clarify issues regarding a claimant's identity, status, or eligibility for benefits.
Information that must be reported on Form SSA 795 includes personal details of the claimant, specifics about the claim, and any relevant facts that support the application.
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