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 social security 721 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.

Video instructions and help with filling out and completing social security 721 form

Instructions and Help about social security 721 form

Laws calm legal forms guide a DD Form 214 is a Department of Defense form used as a certificate of release or discharge from active duty it is the final papers a military member receives and is very important for receiving veterans benefits the DD Form 214 is available on the Department of Defense documentation website or can be supplied to the chain of command when requesting a completed DD Form 214 you must contact the National personnel records Center in order to properly fill out a DD Form 214 you will first need the personal information for the individual to be discharged in boxes 1 through 6 you must fill in the military members name Department social security number grade at time of discharge pay grade date of birth and reserve obligations box 7 requires some information about the military members entrance in the military including their place of entry into the service and home of record at the time of entry the last duty assignment and last place station at the time of separation should be filled in box 8 if the military member is being transferred to another department or branch box 9 is used to indicate where the transfer is to take place provide the history of the military members career and service records in boxes 11 through 14 box 11 requires specialties listed in order with dates and length of specialty service additional space may be needed, so an addendum may be added if all specialties do not fit inside the box 12 will indicate the record of service specifically breaking down the time periods of active duty separation dates prior active and inactive service time foreign service see service and effective pay rate dates boxes 13 and 14 further expand on the military career of the subject of the DD Form 214 awards education and commendations will be listed in these boxes additional sheets may be added box 18 will have any additional remarks that involve the separation from the military this box may be left blank unless there are clear remarks of the individuals military service that should be commented on finally provide the contact in from for the military member at the time of separation and the certification by both the separated member and the authorization officer in boxes 19 through 22 to watch more videos please make sure to visit laws comm

People Also Ask about

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.

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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.