Form preview

SSA-371 2024-2025 free printable template

Get Form
This form is used to request the reinstatement of Social Security Disability Benefits, stating that the claimant is disabled and not performing substantial gainful activity. It outlines the understanding
We are not affiliated with any brand or entity on this form

Fill out, sign, and share forms from a single PDF platform

Manage all your documents quickly and securely in the cloud.
Add or replace text, adjust formatting, insert legally binding eSignatures, and send documents for signing without hopping between apps.
Add and customize fillable fields to tailor each form to your needs and ensure easy completion without printing and scanning.
Quickly share forms via email or a secure link, enabling anyone to complete forms online in seconds, on any device.
Keep all your forms and templates organized in one secure, cloud-based platform, track changes easily, and export documents in any format.
Screen
Screen
Screen
Screen

Why pdfFiller is the best tool for your documents and forms

GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

End-to-end document management

From editing and signing to collaboration and tracking, pdfFiller has everything you need to get your documents done quickly and efficiently.

Accessible from anywhere

pdfFiller is fully cloud-based. This means you can edit, sign, and share documents from anywhere using your computer, smartphone, or tablet.

Secure and compliant

pdfFiller lets you securely manage documents following global laws like ESIGN, CCPA, and GDPR. It's also HIPAA and SOC 2 compliant.
Fill fillable SSA-371 form: Try Risk Free
Rate free SSA-371 form
4.9
satisfied
24 votes

Guide to the SSA-2025 Printable Template Form

What is the SSA-2025 printable template form

The SSA-371 is a crucial form used by individuals seeking reinstatement of Social Security Disability Benefits. This form enables applicants to request a reassessment of their benefits if they have experienced a qualification change or self-assessed their disability status. The SSA-371 form is designed to streamline the process and must be filled accurately to avoid delays.

Key Features of the SSA-2025 printable template form

The SSA-371 includes several key features that facilitate the application process. It provides fields to input personal information like the claimant's name and Social Security number. Applicants can specify their disability status, indicating whether they are unable to perform substantial gainful activity due to their condition. Another significant aspect is the acknowledgment section, where applicants declare under penalty of perjury that the information provided is accurate.

When to Use the SSA-2025 printable template form

Individuals should utilize the SSA-371 form when they wish to request the reinstatement of their Social Security Disability Benefits. This may be necessary after a medical improvement or when a previously denied claim for benefits has changed circumstances. Being well-informed about the appropriate timing for submitting this form can significantly impact the efficacy of the application.

Eligibility Criteria for the SSA-2025 printable template form

To be eligible to complete and submit the SSA-371, the claimant must have previously received Social Security Disability Benefits that were discontinued. They must also meet the defined criteria for disability as set by the Social Security Administration. Understanding these requirements is essential for applicants to ensure that their request for reinstatement is valid.

How to Fill the SSA-2025 printable template form

Filling out the SSA-371 form requires attention to detail. Applicants should begin by entering their name and Social Security number in the appropriate fields. Next, it's important to clearly state the reasons for the reinstatement request, including any relevant medical information that supports the claim. After completing the form, double-check for accuracy and ensure that all required fields are filled.

Benefits of Using the SSA-2025 printable template form

Using the SSA-371 form can significantly simplify the reinstatement process for Social Security Disability Benefits. By having a standardized format, applicants can ensure their information is presented clearly, which can help reduce processing times. Moreover, the form is structured to facilitate a straightforward submission, allowing users to keep track of their request efficiently.

Frequently Asked Questions about form ssa 371

What is the primary purpose of the SSA-371 form?

The SSA-371 form is used to request the reinstatement of Social Security Disability Benefits for individuals who have previously had their benefits stopped.

Who should fill out the SSA-371 form?

Individuals who have been previously awarded Social Security Disability Benefits and are seeking to have them reinstated due to a change in their disability status should complete the SSA-371 form.

pdfFiller scores top ratings on review platforms

Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easy to use and great for what I needed
Jacqueline R
Exactly what I need
Jun L
easy tools
Anonymous Customer
Amazing product and so easy to use :-)
Tam
I still having a issue using PDFFiller app on my Mac. When i try adding onedrive it quit unexpectedly
Jitender S
good program
Matthew M
Show more Show less

People Also Ask about ssa 371 form

You can ask Social Security to resume payments at any time until you turn 70. If you haven't done it by then, Social Security will automatically reinstate your benefits in the higher amount.
If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you. Important Note: PDFs you open from this page may default to opening within a browser, depending on your browser settings.
They say to call a number to clear it up – where they'll ask you for personal information. Thing is, Social Security numbers do not get suspended. This is just a variation of a government imposter scam that's after your SSN, bank account number, or other personal information.
Who is eligible for Social Security bonus? For every year that you delay claiming past full retirement age, your monthly benefits will get an 8% “bonus.” That amounts to a whopping 24% if you wait to file until age 70.
The process to reinstate SSDI – or other Social Security benefits – is much easier than you think. The process is not as difficult as your initial application for Social Security.
You may ask us orally or in writing. If your benefit payments are suspended, they will automatically start again the month you reach age 70. If you change your mind and want the payments to start before age 70, just tell us when you want your benefits reinstated.
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.