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Social Security Administration (SSA) Forms in Word

Our SSA forms have gone through a rigorous approval process by the SSA. Our MS Office-certified designers make Microsoft Word documents that are completely fillable, unprotected, and easy to use, save, copy, and use again. Your forms are e-mailed right to you. We always do a careful proof of each form to be sure it looks just like the federal form. In 9 years, we have designed over 15,000 Forms for 22,000 businesses, government agencies, and individuals, and we take pride in our personal customer service, excellent products, and $-back guarantee! (Note: If you don't see your form, just email us. We add forms daily & make personalized forms to order. Also, this is our PayPal site; if you want to use Google Checkout instead, go to www.formsinword.net instead of .com) Questions: E-mail is fastest or call 907-771-9022.

FORMS IN WORD IS AN APPROVED SSA FORMS DESIGNER!

Our most popular SSA forms:

Form No. Form Title Price Buy Now in Microsoft Word
ALL SSA FORMS PACKAGE: ALL OUR SSA FORMS IN WORD
$555.00
SSA-4 Form APPLICATION FOR CHILD'S INSURANCE BENEFITS
$18.99
SSA-1695 Form Identifying Information for Possible Direct Payment of Authorized Fees
$8.99
SSA 61 Form Request for Review by a Federal Reviewing Official  
Obsolete form
SSA 3373-BK
Disability Report Adult
$8.99
SSA 3380-BK
FUNCTION REPORT - ADULT - THIRD PARTY Form
$19.00
SSA-3368-BK
DISABILITY REPORT—ADULT
$29.50
SSA-3369-BK
Work History Report
$8.99
SSA 16-BK Form Application for Disability Insurance Benefits
$39.00
SSA 8001-BK Form Application for Supplemental Security Income
$8.99
SSA 2506-BK Form Psychiatric Review Technique
$8.99
SSA 4734-BK Form Physical Residual Functional Capacity Assessment
$8.99
SSA-4734-F4-SUP Form MENTAL RESIDUAL FUNCTIONAL CAPACITY ASSESSMENT
$8.99
SSA 1020
Application for Help with Medicare Prescription Drug Plan Costs
  Not in Word; obtain from the SSA at this link.
SSA-3 Form
Marriage Certification
$8.99
SSA-21 Form
Supplement to Claim of Person Outside the
United States
$8.99
SSA 131 Form EMPLOYER REPORT OF SPECIAL WAGE PAYMENTS
$8.99
SSA 150 Form
MODIFIED BENEFIT FORMULA QUESTIONNAIRE
$8.99
SSA-308 Form
Modified Benefits Formula Questionnaire, Foreign Pension
$8.99
SSA-521 Form
Request for Withdrawal of Application
$8.99
SSA-545 Form
Plan for Achieving Self-Support
$8.99
SSA-546 Form
Worker's Compensation/Public Disability Questionnaire
$8.99
SSA 671 Form
Railroad Employment Questionnaire
$8.99
SSA-723 Form
Statement Regarding the Inferred Death of an Individual
$8.99
SSA-781 Form
Certificate of Responsibility for Welfare and Care of Child
$8.99
SSA-782 Form
Obsolete. Form has been replaced by form SSA-3441-BK
  Obsolete; order SSA 3441-BK instead.
SSA 783 Form
Statement Regarding Contributions
$8.99
SSA 788 Form
STATEMENT OF CARE AND RESPONSIBILITY FOR BENEFICIARY
$8.99
SSA-789 Form
Request for Reconsideration - Disability Cessation
$8.99
SSA 795 Form
STATEMENT OF CLAIMANT OR OTHER PERSON
$8.99
SS-5 Form
Application for a Social Security Card
$8.99
SS-5-FS Form
Application for a Social Security Card
$8.99
SSA 820 Form
Work Activity Report (Self-Employed Person)
$8.99
SSA 821 Form
Work Activity Report (Employee)
$8.99
SSA-827 Form
Authorization to Disclose Information to SSA
$8.99
SSA 1372-BK Form
STUDENT'S STATEMENT REGARDING SCHOOL ATTENDANCE (8 pages)
$8.99
SSA 2512 Form
Pre-1957 Military Service - Federal Benefit Questionnaire
$8.99
SSA 2519 Form
Child Relationship Statement
$8.99
SSA-2000 Form
Application for Special Benefits for World War II Veterans
$8.99
SSA-1696 Form
Appointment of Representative
$8.99
HA-4631, 4632, & 4633 Form Combines 4631, 4632, and 4633 into one convenient document!
$19.99
HA-4633 Form Claiman's Work Bankgroud
$8.99
HA-4632 Form
Claimant's Medications
$8.99
SSA 3441-BK Form
DISABILITY REPORT - APPEAL
$19.50
HA-4631 Form
Claimant's Recent Medical Treatment
$8.99
SSA 538-F6 Form Childhood Disability Evaluation Report
$8.99
SSA 3820 Form
Disability Report - Child Form
$8.99
SSA 3881 Form
QUESTIONNAIRE FOR CHILDREN CLAIMING SSI BENEFITS
$8.99
SSA 3885 Form
Government Pension Questionnaire
$8.99
SSA 4162 Form
Child care Dropout Questionnaire
$8.99
HA-4486 Form
Obsolete; Form has been replaced by form SSA-3441-BK
  Obsolete form. Order SSA 3441-B K
SSA 4184 Form
Self-Employment - Corporate Officer Questionnaire
$8.99
SSA 5665 Form
TEACHER QUESTIONNAIRE
$8.99
SSA 5666 Form
REQUEST FOR ADMINISTRATIVE INFORMATION
$8.99
SSA 7008 Form
REQUEST FOR CORRECTION OF EARNINGS RECORD
$8.99
SSA 7014 Form
Letter to Wage Earner Result of Wages
  Not in Word; obtain from the SSA at this link.
HA-4633 Form
Claimant's Work Background
$8.99
SSA 7156 Form
Farm Self-Employment Questionnaire
$8.99
SSA 7157 Form
Farm Arrangement Questionnaire
$8.99
SSA 7163 Form
QUESTIONNAIRE ABOUT EMPLOYMENT OR SELF-EMPLOYMENT OUTSIDE THE UNITED STATES
$8.99
SSA 7163A Form
SUPPLEMENTAL STATEMENT REGARDING FARMING ACTIVITIES OF PERSON LIVING OUTSIDE THE U.S.A.
$8.99
SSA 7050 Form
REQUEST FOR SOCIAL SECURITY EARNINGS INFORMATION
$8.99
SSA-3288 Form
Consent for Release of Information
$8.99
SSA-437 Form
Discrimination Complaint
$8.99
SSA-131 Form
Employer Report of Special Wage Payments
$8.99
HA-539 Form
Notice Regarding Substitution of Party Upon Death
$8.99
SSA-1560 Form
Petition to Obtain Approval of a Fee for Representing a Claimant
$8.99
HA-501 Form
Request for Hearing by Administrative Law Judge
$8.99
SSA-561-U2 Form
Request for Reconsideration
$8.99
HA-520 Form
Request for Review of Decision/Order of ALJ
$8.99
SSA-632 Form
Request for Waiver of Overpayment Recovery
$8.99
SSA-7004 Form
Request for Social Security Statement - 10/27/11 Currently the SSA is not issuing this form; when they do, we will offer again. See this link.
  Currently the SSA is not issuing this form; when they do, we will offer again. See this link.
SSA-7004-SP Form
Solicitud de Declaración de Ganancias - Currently the SSA is not issuing this form; when they do, we will offer again. See this link.
  Currently the SSA is not issuing this form; when they do, we will offer again. See this link.
SS-5-SP Form
Solicitud Para una Tarjeta de Seguro Social
$8.99
HA-4608 Form
Waiver of Your Right to Personal Appearance Before an ALJ
$8.99
HA-510 Form
Waiver of Written Notice of Hearing
$8.99
SSA-783 Form
Statement Regarding Contributions
$8.99
SSA-788 Form
Statement of Care and Responsibility for Beneficiary
$8.99
SSA-795 Form
Statement of Claimant or Other Persons
$8.99
SSA-820 Form
Work Activity Report (Self-Employed)
$8.99
SSA-821 Form
Work Activity Report, Employee
$8.99
SSA-1372 Form
Student's Statement Regarding School Attendance
$8.99
SSA-1724 Form
Claim for Amounts Due in Case of a Deceased Beneficiary
$8.99
SSA-2512 Form
Pre-1957 Military Service Federal Benefit Questionnaire
$8.99
SSA-2519 Form
Child Relationship Statement
$8.99
SSA-3820 Form
Disability Report, Child
$8.99
SSA-3885 Form
Government Pension Questionnaire
$8.99
SSA-4162 Form
Child Care Dropout Questionnaire
$8.99
SSA-4184 Form
Self Employment Corporate Officer Questionnaire
$8.99
SSA-4395 Form Application for Access to SSA Headquarters Facilities
$8.99
SSA-7008 Form
Request for Correction of Earnings Record
$8.99
SSA-7050 Form
Request for Social Security Information
$8.99
SSA-7104 Form
Partnership Questionnaire
$8.99
SSA-7156 Form
Farm Self Employment Questionnaire
$8.99
SSA-7157 Form
Farm Arrangement Questionnaire
$8.99
SSA-7163 Form
Questionnaire About Employment or Self Employment Outside the
US
$8.99
SSA-7163A Form
Statement Regarding Farming Activities of Persons Living Outside US
$8.99
SSA-150 Form
Modified Benefits Formula Questionnaire
$8.99
SSA-671 Form
Railroad Employment Questionnaire
$8.99
SSA-5665-BK Form
Teacher Questionnaire
$8.99
SSA-5666 Form
Request for Administrative Information
$8.99
SSA-3881 Form
Questionnaire for Children Claiming SSI Benefits
$8.99
SSA 8001 Form Application for Suplemental Security Income (new form 12/06) 10 pages & approved by SSA
$59

More SSA forms:

Form Type, Number, and Title

Price in Word

Buy Now in Word

SSA-44 Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event

$8.99

SSA-54 Authorization for SSA to Disclose Tax Information for Your Appeal of Your Medicare Part B Income-Related Monthly Adjustment Premium Amount

$8.99

SSA-1021 Appeal of Determination for Help with Medicare Prescription Drug Costs

$8.99

SSA-1021-SP Apelación de la determinación para recibir ayuda con los gastos de los Planes

$8.99

SSA-199 Vocational Rehabilitation Provider Claim

$8.99

SSA-1365 State Agency Ticket Assignment Form Ticket To Work and Self Sufficiency Program

$8.99

SSA-3373 Function Report-Adult

$8.99

SSA-3375 Function Report-Child Birth to 1st Birthday

$8.99

SSA-3380 Function Report Adult-Third Party Form

$8.99

SSA-3381 Medical and Job Worksheet Adult

$8.99

SSA-3820 Disability Report, Child

$8.99

SSA-3881 Questionnaire for Children Claiming SSI Benefits

$8.99

SSA-5665 Teacher Questionnaire

$8.99

SSA-3441 Disability Report-Appeal

$8.99

HA-501 Request for Hearing by Administrative Law Judge

$8.99

HA-520 Request for Review of Decision/Order of Administrative Law Judge

$8.99

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

$8.99

HA-4608 Waiver of Your Right to Personal Appearance Before an Administrative Law Judge

$8.99

HA-4631 Claimant's Recent Medical Treatment

$8.99

HA-4632 Claimant's Medications

$8.99

HA-4633 Claimant's Work Background

$8.99

SSA-3 Marriage Certification

$8.99

SSA-3-SP Certificación de Matrimonio

$8.99

SSA-11 Request to Be Selected As Payee

$8.99

SSA-21 Supplement to Claim of Person Outside the United States

$8.99

SSA-25 Certification of Election for Reduced Spouse's Benefits

$8.99

SSA-150 Modified Benefits Formula Questionnaire

$8.99

SSA-308 Modified Benefits Formula Questionnaire, Foreign Pension

$8.99

SSA-437 Complaint Form for Allegations of Discrimination in Programs or Activities Conducted by the Social Security Administration

$8.99

SSA-521 Request for Withdrawal of Application

$8.99

SSA-671 Railroad Employment Questionnaire

$8.99

SSA-723 Statement Regarding the Inferred Death of an Individual

$8.99

SSA-781 Certificate of Responsibility for Welfare and Care of Child

$8.99

SSA-783 Statement Regarding Contributions

$8.99

SSA-787 Physician's/Medical Officer's Statement of Patient's Capability to Manage Benefits

$8.99

SSA-795 Statement of Claimant or Other Persons

$8.99

SSA-1372 Advanced Notice of Termination of Child's Benefits

$8.99

SSA-1372-BK-FC Advance Notice of Termination of Child’s Benefits (Foreign Claims)

$8.99

SSA-2032 Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate

$8.99

SSA-2512 Pre-1957 Military Service Federal Benefit Questionnaire

$8.99

SSA-2519 Child Relationship Statement

$8.99

SSA-3885 Government Pension Questionnaire

$8.99

SSA-4111 Certification of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits

$8.99

SSA-4184 Self Employment Corporate Officer Questionnaire

$8.99

SSA-5666 Request for Administrative Information

$8.99

SSA-7008 Request for Correction of Earnings Record

$8.99

SSA-7104 Partnership Questionnaire

$8.99

SSA-7156 Farm Self Employment Questionnaire

$8.99

SSA-7157 Farm Arrangement Questionnaire

$8.99

SSA-7163 Questionnaire About Employment or Self Employment

$8.99

SSA-7163A Supplemental Statement Regarding Farming Activities

$8.99

SS-5 Application for a Social Security Card

$8.99

SS-5-FS Application for a Social Security Card

$8.99

SS-5-SP Solicitud Para una Tarjeta de Seguro Social

$8.99

SSA-89 Authorization for the Social Security Administration To Release Social Security Number (SSN) Verification

$8.99

SSA-117 How Are We Doing?

$8.99

SSA-131 Employer Report of Special Wage Payments

$8.99

SSA-604 Certificate of Incapacity

$8.99

SSA-632 Request for Waiver of Overpayment Recovery or Change in Repayment Rate

$8.99

SSA-L706 Letter to Custodian of Birth Records

$8.99

SSA-711 Request for Deceased Individual's Social Security Record

$8.99

SSA-714 You Can Make Your Payment By Credit Card

$8.99

SSA-721 Statement of Death by Funeral Director

$8.99

SSA-753 Statement Regarding Marriage

$8.99

SSA-753-SP Declaracion Acerca De Matrimonio

$8.99

SSA-754 Statement of Marital Relationship

$8.99

SSA-1560 Petition to Obtain Approval of a Fee For Representing a Claimant Before the Social Security Administration

$8.99

SSA-1694 Request for Business Entity Taxpayer Information

$8.99

SSA-1695 Identifying Information for Possible Direct Payment of Authorized Fees

$8.99

SSA-1696 Appointment of Representative

$8.99

SSA-1699 Registration for Appointed Representative Services and Direct Payment

$8.99

SSA-1724 Claim For Amounts Due In Case Of A Deceased Beneficiary

$8.99

SSA-1945 Statement Concerning Your Employment In a Job Not Covered by Social Security

$8.99

SSA- 2000 Application for Special Benefits for World War II Veterans

$8.99

SSA-3033 Retirement, Survivors and Disability Insurance Supplemental Security Income

$8.99

SSA-3288 Consent for Release of Information

$8.99

SSA-4162 Child Care Dropout Questionnaire

$8.99

SSA-L-4201 Letter to Employer Requesting Wage Information

$8.99

SSA-7050 Request for Social Security Earnings Information

$8.99

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