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Social Security Administration (SSA) Forms in Word

Our SSA forms have gone through a rigorous approval process by the SSA.All forms are Microsoft Word documents that are completely fillable and easy to use, save, and copy, and we email them directly to you after purchse - usually in just a few minutes!  Our MS Office-certified designers make current, correct, and easy government forms in Word with automatic form fill features. We always do a careful proof of each form to be sure it looks just like the federal form. We are happy to answer questions that you have, and we usually e-mail your document to you right away. The only information we receive from PayPal to contact you is your email address, so if you prefer that we send your form to another e-mail or if you typed it in wrong, e-mail us (forms@formsinword.com) about where to send your form (include your phone number). Thank you for using Forms in Word! Questions? E-mail (fastest way to reach us) or call 907-868-7717 for personalized service!
Form
Description
Price

Buy Now in Word

SSA-1695 Identifying Information for Possible Direct Payment of Authorized Fees (SSA 1695 form) (9-06 version)
$12.99
SSA 61 Request for Review by a Federal Reviewing Official
$12.99
SSA 3373-BK
Disability Report Adult - SSA 3373 BK- 10 pages
$12.99
SSA 3380-BK
FUNCTION REPORT - ADULT - THIRD PARTY Form SSA-3380-BK
$19.00
SSA-3368-BK
DISABILITY REPORT—ADULT— Form SSA 3368 BK
$12.99
SSA-3369-BK
Work History Report - SSA 3369 BI
$12.99
SSA-3820-BK
Disability Report - Child - SSA 3820 BK
$12.99
SSA 16-BK Application for Disability Insurance Benefits
$39.00
SSA 8000-BK (also known as SSA 8001-BK) (formerly 8001-FS) Application for Supplemental Security Income (10 pages; revised to 12/06 version and approved by SSA)
$12.99
SSA 2506-BK Psychiatric Review Technique (15 pages) SSA 2506 BK
$29.00
SSA 4734-BK Physical Residual Functional Capacity Assessment SSA 4734 BK
$12.99
SSA 1020
Application for Help with Medicare Prescription Drug Plan Costs, SSA-1020
  Not in Word; obtain from the SSA at this link.
SSA-3
Marriage Certification - 2 pages
$12.99
SSA-21
Supplement to Claim of Person Outside the
United States
$12.99
SSA 131 EMPLOYER REPORT OF SPECIAL WAGE PAYMENTS
$12.99
SSA 150
MODIFIED BENEFIT FORMULA QUESTIONNAIRE
$12.99
SSA-308
Modified Benefits Formula Questionnaire, Foreign Pension
$12.99
SSA-521
Request for Withdrawal of Application
$12.99
SSA-545
Plan for Achieving Self-Support
$12.99
SSA-546
Worker's Compensation/Public Disability Questionnaire
$12.99
SSA 671
Railroad Employment Questionnaire
$12.99
SSA-723
Statement Regarding the Inferred Death of an Individual
$12.99
SSA-781
Certificate of Responsibility for Welfare and Care of Child
$12.99
SSA-782
Form has been replaced by form SSA-3441-BK
$12.99
SSA 783
Statement Regarding Contributions
$12.99
SSA 788
STATEMENT OF CARE AND RESPONSIBILITY FOR BENEFICIARY
$12.99
SSA-789
Request for Reconsideration - Disability Cessation
$12.99
SSA 795
STATEMENT OF CLAIMANT OR OTHER PERSON
$12.99
SS-5
Application for a Social Security Card
$12.99
SS-5-FS
Application for a Social Security Card
$12.99
SSA 820
Work Activity Report (Self-Employed Person) 4 pages
$12.99
SSA 831
Work Activity Report (Employee) - 8 pages
$12.99
SSA-827
Authorization to Disclose Information to SSA
$12.99
SSA 1199A
Direct Deposit Sign-Up Form (SF-1199A)
$12.99
1372-BK
STUDENT'S STATEMENT REGARDING SCHOOL ATTENDANCE (8 pages)
$12.99
SSA 2512
Pre-1957 Military Service - Federal Benefit Questionnaire (2 pages)
$12.99
SSA 2519
Child Relationship Statement
$12.99
SSA-2000
Application for Special Benefits for World War II Veterans
$12.99
SSA-1696
Appointment of Representative
$12.99
HA-4631, 4632, & 4633 Combines 4631, 4632, and 4633 into one convenient document!
$27.99
HA-4633 Claiman's Work Bankgroud - SSA 4633 & HA 4633
$12.99
HA-4632
Claimant's Medications - SSA 4632 & HA 4632
$12.99
SSA 3369 BK
WORK HISTORY REPORT-Form SSA-3369-BK (10 pages)
$12.99
SSA 3441-BK (SSA3441)
DISABILITY REPORT - APPEAL - Form SSA-3441-BK (10 pages)
$19.50
HA-4631
Claimant's Recent Medical Treatment - SSA 4631 & HA 4631
$12.99
SSA 538-F6 Childhood Disability Evaluation Report (6 pages)
$12.99
SSA 3820
Disability Report - Child Form SSA-3820-BK (14 pages)
$12.99
SSA 3881
QUESTIONNAIRE FOR CHILDREN CLAIMING SSI BENEFITS (8 pages)
$12.99
SSA 3885
Government Pension Questionnaire
$12.99
SSA 4162
Child care Dropout Questionnaire (2 pages)
$12.99
HA-4486
Form has been replaced by form SSA-3441-BK
$12.99
SSA 4184
Self-Employment - Corporate Officer Questionnaire
$12.99
SSA
5665
TEACHER QUESTIONNAIRE (10 pages)
$12.99
SSA 5666
REQUEST FOR ADMINISTRATIVE INFORMATION (2 pages)
$12.99
SSA 7008
REQUEST FOR CORRECTION OF EARNINGS RECORD (2 pages)
$12.99
SSA 7014
Partnership Questionnaire
$12.99
HA-4633
Claimant's Work Background
$12.99
SSA 7156
Farm Self-Employment Questionnaire
$12.99
SSA 7157
Farm Arrangement Questionnaire
$12.99
SSA 7163
QUESTIONNAIRE ABOUT EMPLOYMENT OR SELF-EMPLOYMENT OUTSIDE THE UNITED STATES (2 pages)
$12.99
SSA 7163A
SUPPLEMENTAL STATEMENT REGARDING FARMING ACTIVITIES OF PERSON LIVING OUTSIDE THE U.S.A.
$12.99
SSA 7050
REQUEST FOR SOCIAL SECURITY EARNINGS INFORMATION (4 pages)
$12.99
SSA-3288
Consent for Release of Information
$12.99
SSA-437
Discrimination Complaint
$12.99
SSA-131
Employer Report of Special Wage Payments
$12.99
HA-539
Notice Regarding Substitution of Party Upon Death
$12.99
SSA-1560
Petition to Obtain Approval of a Fee for Representing a Claimant
$12.99
SSA-3441-BK
Disability Report - Appeal
$12.99
HA-501
Request for Hearing by Administrative Law Judge
$12.99
SSA-561-U2
Request for Reconsideration
$12.99
HA-520
Request for Review of Decision/Order of ALJ
$12.99
SSA-632
Request for Waiver of Overpayment Recovery
$12.99
SSA-7004
Request for Social Security Statement
$12.99
SSA-7004-SP
Solicitud de Declaración de Ganancias
$12.99
SS-5-SP
Solicitud Para una Tarjeta de Seguro Social
$12.99
HA-4608
Waiver of Your Right to Personal Appearance Before an ALJ
$12.99
HA-510
Waiver of Written Notice of Hearing
$12.99
SSA-783
Statement Regarding Contributions
$12.99
SSA-788
Statement of Care and Responsibility for Beneficiary
$12.99
SSA-795
Statement of Claimant or Other Persons
$12.99
SSA-820
Work Activity Report (Self-Employed)
$12.99
SSA-821
Work Activity Report, Employee
$12.99
SSA-1372
Student's Statement Regarding School Attendance
$12.99
SSA-1724
Claim for Amounts Due in Case of a Deceased Beneficiary
$12.99
SSA-2512
Pre-1957 Military Service Federal Benefit Questionnaire
$12.99
SSA-2519
Child Relationship Statement
$12.99
SSA-3820
Disability Report, Child
$12.99
SSA-3369
Work History Report
$12.99
SSA-3885
Government Pension Questionnaire
$12.99
SSA-4162
Child Care Dropout Questionnaire
$12.99
SSA-4184
Self Employment Corporate Officer Questionnaire
$12.99
SSA-4395 Application for Access to SSA Headquarters Facilities
$12.99
SSA-7008
Request for Correction of Earnings Record
$12.99
SSA-7050
Request for Social Security Information
$12.99
SSA-7104
Partnership Questionnaire
$12.99
SSA-7156
Farm Self Employment Questionnaire
$12.99
SSA-7157
Farm Arrangement Questionnaire
$12.99
SSA-7163
Questionnaire About Employment or Self Employment Outside the
US
$12.99
SSA-7163A
Statement Regarding Farming Activities of Persons Living Outside US
$12.99
SSA-150
Modified Benefits Formula Questionnaire
$12.99
SSA-671
Railroad Employment Questionnaire
$12.99
SSA 6559
Transmitter Report and Summary of Magnetic Media
$12.99
SSA 6559-A
Continuation Sheet for Form 6559
$12.99
SF-1199A
Direct Deposit Sign-Up Form
$12.99
SSA-5665-BK
Teacher Questionnaire
$12.99
SSA-5666
Request for Administrative Information
$12.99
SSA-3881
Questionnaire for Children Claiming SSI Benefits
$12.99
SSA 8001 BK (also known as SSA 8001-BK; was SSA 8001BK-FS) Application for Suplemental Security Income (new form 12/06) 10 pages & approved by SSA
$59
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