SSA SSA-721 2008-2025 free printable template

NAME AND ADDRESS OF FUNERAL DIRECTOR OR FIRM SIGNATURE OF FUNERAL DIRECTOR OR AUTHORIZED REPRESENTATIVE FOR SOCIAL SECURITY USE ONLY - DO NOT WRITE IN THIS SPACE DO Processed Date Form SSA-721 5-2005 ef 8-2008 Use 1-2004 edition until supply is exhausted DATE A MESSAGE FROM SOCIAL SECURITY Your funeral director is helping the Social Security office by giving you this information about Social Security benefits. Form Approved OMB No. 0960-0142 SOCIAL SECURITY ADMINISTRATION STATEMENT OF DEATH...

How to fill out 721 statement of death form

How to fill out SSA SSA-721

1. Obtain a copy of SSA Form SSA-721 from the Social Security Administration website or your local Social Security office.
2. Fill in the first section with the deceased worker's information, including their name, Social Security number, and date of death.
3. Complete the second section with your information, including your name, relationship to the deceased, and your address.
4. In the third section, indicate if you are claiming benefits for yourself or on behalf of another claimant.
5. Sign and date the form, confirming that the information provided is accurate.
6. Submit the completed form to the Social Security Administration by mail or in person.

Who needs SSA SSA-721?

1. The SSA SSA-721 form is needed by individuals who are applying for Social Security benefits on behalf of a deceased worker.
2. It is often used by family members or representatives who are fulfilling the legal obligations of reporting a worker's death to the Social Security Administration.

People Also Ask about ssa 721 statement of death

How do I apply for $250 Social Security death benefit?

You can apply for benefits by calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or by visiting your local Social Security office. An appointment is not required, but if you call ahead and schedule one, it may reduce the time you spend waiting to apply.

What form does Social Security death beneficiary use?

The IRS Form SSA-1724-F4 is used by the relatives of the deceased social security recipient or the legal representative of the estate. Among the immediate relatives allowed to receive these payments are the spouse, children, and parents of the deceased.

Who is eligible for the $250 death benefit from Social Security?

A one-time lump-sum death payment of $255 can be paid to the surviving spouse if they were living with the deceased. If living apart and they were receiving certain Social Security benefits on the deceased's record, they may be eligible for the lump-sum death payment.

What form do I need for last Social Security payment after death?

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.

What happens if you don't report a death to Social Security?

There is no prorating of a final benefit for the month of death. If Social Security pays the deceased's benefit for that month because it was not notified of the death in time, the survivors or representative payee will have to return the money.

When can I apply for Social Security death benefits?

The earliest a widow or widower can start receiving Social Security survivors benefits based on age will remain at age 60. Widows or widowers benefits based on age can start any time between age 60 and full retirement age as a survivor.

For pdfFiller’s FAQs

How can I send reporting a death to social security for eSignature?

Once your form ssa 721 is complete, you can securely share it with recipients and gather eSignatures with pdfFiller in just a few clicks. You may transmit a PDF by email, text message, fax, USPS mail, or online notarization directly from your account. Make an account right now and give it a go.

How can I edit ssa 721 form pdf on a smartphone?

You may do so effortlessly with pdfFiller's iOS and Android apps, which are available in the Apple Store and Google Play Store, respectively. You may also obtain the program from our website: https://edit-pdf-ios-android.pdffiller.com/. Open the application, sign in, and begin editing funeral director statement of death right away.

Can I edit statement of death by funeral director 721 on an Android device?

You can edit, sign, and distribute 721 form on your mobile device from anywhere using the pdfFiller mobile app for Android; all you need is an internet connection. Download the app and begin streamlining your document workflow from anywhere.

What is SSA SSA-721?

SSA SSA-721 is a form used to report the death of a wage earner to the Social Security Administration (SSA). It is primarily used to provide necessary information about the deceased individual for processing survivor benefits.

Who is required to file SSA SSA-721?

The SSA SSA-721 is typically filed by a family member or an individual who is entitled to benefits based on the deceased wage earner's work record. This includes surviving spouses and children.

How to fill out SSA SSA-721?

To fill out SSA SSA-721, you will need to provide the deceased individual's name, Social Security number, and date of death, along with your own contact information and relationship to the deceased. Follow the instructions on the form for additional details.

What is the purpose of SSA SSA-721?

The purpose of SSA SSA-721 is to formally notify the SSA of an individual's death, which is crucial for stopping dependency benefit payments and processing any survivor benefits that may be available to eligible family members.

What information must be reported on SSA SSA-721?

The information that must be reported on SSA SSA-721 includes the deceased person's full name, Social Security number, date of death, the relationship of the reporter to the deceased, and any relevant details that the SSA may require for claims processing.