SSA Forms: PDFs, Instructions & Fax Numbers

SSA Form Guides

Open the detail pages below for official PDF references, source-page context, and related form links for this agency.

Indexed Form Guides

• CMS 1763: Request for Termination of Premium Hospital Insurance of Supplementary Medical Insurance

  Read the guide for CMS 1763, then open the official filing resources from the detail page.

• CMS 40B: Request for Enrollment in Medicare Part B (Medical Insurance)

  Read the guide for CMS 40B, then open the official filing resources from the detail page.

• CMS L564: Medicare Request for Employment Information

  Read the guide for CMS L564, then open the official filing resources from the detail page.

• HA-4608: Waiver of Your Right to Personal Appearance Before a Judge

  Read the guide for HA-4608, then open the official filing resources from the detail page.

• HA-4631: Claimant's Recent Medical Treatment

  Read the guide for HA-4631, then open the official filing resources from the detail page.

• HA-4632: Claimant's Medications

  Read the guide for HA-4632, then open the official filing resources from the detail page.

• HA-4633: Claimant's Work Background

  Read the guide for HA-4633, then open the official filing resources from the detail page.

• HA-501: Request For Hearing By Administrative Law Judge

  Read the guide for HA-501, then open the official filing resources from the detail page.

• HA-520: Request for Review of Hearing Decision/Order

  Read the guide for HA-520, then open the official filing resources from the detail page.

• HA-539: Notice Regarding Substitution of Party Upon Death of Claimant

  Read the guide for HA-539, then open the official filing resources from the detail page.

• HA-85: Request to Withdraw a Hearing Request

  Read the guide for HA-85, then open the official filing resources from the detail page.

• SS-5: Application for a Social Security Card

  Read the guide for SS-5, then open the official filing resources from the detail page.

• SSA-1: Information You Need To Apply For Retirement Benefits Or Medicare

  Read the guide for SSA-1, then open the official filing resources from the detail page.

• SSA-10: Information You Need to Apply for Widow's, Widower's or Surviving Divorced Spouse's Benefits

  Read the guide for SSA-10, then open the official filing resources from the detail page.

• SSA-1560: Petition For Authorization To Charge And Collect A Fee For Services Before The Social Security Administration

  Read the guide for SSA-1560, then open the official filing resources from the detail page.

• SSA-16: Information You Need to Apply for Disability Benefits

  Read the guide for SSA-16, then open the official filing resources from the detail page.

• SSA-1696: Claimant's Appointment of a Representative

  Read the guide for SSA-1696, then open the official filing resources from the detail page.

• SSA-1724: Claim For Amounts Due In The Case Of Deceased Beneficiary

  Read the guide for SSA-1724, then open the official filing resources from the detail page.

• SSA-2: Information You Need to Apply for Spouse's or Divorced Spouse's Benefits

  Read the guide for SSA-2, then open the official filing resources from the detail page.

• SSA-3441: Disability Report - Appeal

  Read the guide for SSA-3441, then open the official filing resources from the detail page.

• SSA-4: Information You Need To Apply for Child's Benefits

  Read the guide for SSA-4, then open the official filing resources from the detail page.

• SSA-5: Information You Need To Apply for Mother's or Father's Benefits

  Read the guide for SSA-5, then open the official filing resources from the detail page.

• SSA-545: Plan To Achieve Self-Support

  Read the guide for SSA-545, then open the official filing resources from the detail page.

• SSA-561: Request for Reconsideration

  Read the guide for SSA-561, then open the official filing resources from the detail page.

• SSA-632BK: Request For Waiver Of Overpayment Recovery

  Read the guide for SSA-632BK, then open the official filing resources from the detail page.

• SSA-7: Information You Need To Apply for Parent's Benefits

  Read the guide for SSA-7, then open the official filing resources from the detail page.

• SSA-7050: Request for Social Security Earnings Information

  Read the guide for SSA-7050, then open the official filing resources from the detail page.

• SSA-8: Information You Need To Apply For Lump Sum Death Benefit

  Read the guide for SSA-8, then open the official filing resources from the detail page.

• W-4V: Voluntary Withholding Request

  Read the guide for W-4V, then open the official filing resources from the detail page.