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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.
If you applied for Social Security or Supplemental Security Income (SSI) disability benefits and were denied for medical reasons, you may request an appeal online. Appeal Our Recent Medical Decision.
You can complete an application for retirement, spouse's, Medicare, or disability benefits online. If you cannot submit your application online, call us at 1-800-772-1213 (TTY 1-800-325-0778) between 8 a.m. and 7 p.m..
Application for a Social Security Card Applying for a Social Security Card is free! USE THIS APPLICATION TO: Apply for an original Social Security card Apply for a replacement Social Security card Change or correct information on your Social Security number record. IMPORTANT:
If you do not wish to appeal a medical decision online, you can use the Form SSA-561, Request for Reconsideration. You will also need to submit: Form SSA-3441, Disability Report - Appeal, and; Form SSA-827, Authorization to Disclose Information to the Social Security Administration. If You Disagree With A Non-Medical Decision
You can provide this authorization by signing a form SSA-827. Federal law permits sources with information about you to release that information if you sign a single authorization to release all your information from all your possible sources.
You may use this form if you received a notice that your monthly Medicare Part B (medical insurance) or prescription drug coverage premiums include an income-related monthly adjustment amount (IRMAA) and you experienced a life-changing event that may reduce your IRMAA.
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.
SEND OR BRING THE COMPLETED FORM TO YOUR LOCAL SOCIAL SECURITY OFFICE. You can find your local Social Security office through SSA's website at . www.socialsecurity.gov. Offices are also listed under U. S. Government agencies in your telephone . directory or you may call Social Security at 1-800-772-1213 (TTY 1-800-325-0778). You may send ...
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