Social Security Printable Form 1724 Form SSA 1724 F4 05 2016 Use Prior Editions Social Security Administration CLAIM FOR AMOUNTS DUE IN THE CASE OF A DECEASED BENEFICIARY Form Approved OMB No 0960 0101 Page 1 PRINT NAME OF DECEASED SOCIAL SECURITY NUMBER OF DECEASED If the deceased received benefits on another person s record print name of that worker NAME OF THE WORKER
The form you are looking for is not available online Many forms must be completed only by a Social Security Representative Please call us at 1 800 772 1213 TTY 1 800 325 0778 Monday through Friday between 8 a m and 5 30 p m or contact your local Social Security office Form SSA 1724 is also known as Claim For Amounts Due In The Case Of Deceased Beneficiary If the Social Security Administration owed the deceased unpaid SSA benefits or a Medicare premium refund then completing form SSA 1724 would be the first step towards claiming that money SSA 1724 is a three page document
Social Security Printable Form 1724
Social Security Printable Form 1724
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ICR 202104 0960 003 IC 43696 Current SSA 1724 Document pdf Download pdf pdf Form Approved OMB No 0960 0101 Social Security Administration CLAIM FOR AMOUNTS DUE IN THE CASE OF A DECEASED BENEFICIARY PRINT NAME OF DECEASED If the deceased received benefits on another person s record print name of that worker SOCIAL SECURITY NUMBER TN 3 09 17 GN 02301 500 Form SSA 1724 Claim for Amounts Due in the Case of a Deceased Beneficiary To view the form go to SSA 1724
Form Ssa 1724 Create My Document Form SSA 1724 Claim for Amounts Due in the Case of a Deceased Beneficiary is a form used to claim a Social Security payment that was owed to the decedent before their death Generally it is the individual s legal next of kin who completes this form It can be helpful to have a lawyer help the next of kin We do not require the use of a particular form to request payment of an underpayment However Form SSA 1724 Claim for Amounts Due in the Case of a Deceased Beneficiary is intended for this purpose For instructions on handling the SSA 1724 as a lead for survivors claims see GN 00202 020 You can view a copy of this form on inForm
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Form Ssa 1724 Claim For Amounts Due In The Case Of Deceased Beneficiary Printable Pdf Download
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Where to send this form Send the completed form to your local Social Security office If you have any questions you may call us toll free at 1 800 772 1213 Monday through Friday from 7 a m to 7 p m If you are deaf or hard of hearing you may call our TTY number 1 800 325 0778 A deceased beneficiary may have been due a Social Security payment at the time of death We may pay amounts due a deceased beneficiary to a family member or legal representative of the estate See Claim For Amounts Due In The Case Of Deceased Beneficiary Form SSA 1724 for more information
OMB 0960 0101 OMB 0960 0101 SSA requests applicants complete Form SSA 1724 when there is insufficient information in the file to identify the person s entitled to the underpayment or the person s address SSA collects the information when a surviving widow er is not already entitled to a monthly benefit on the same earnings records or ENTER SOCIAL SECURITY NUMBER S OF WIDOW ER NAMED ABOVE YES NO Go on to item 2 YES NO Form SSA 1724 F4 01 2010 EF 01 2010 Destroy Prior Editions Page 1 of 3 Form Approved Social Security Administration OMB No 0960 0101 CLAIM FOR AMOUNTS DUE IN THE CASE OF A DECEASED SOCIAL SECURITY RECIPIENT
Form SSA 1724 F4 Instructions To Follow PdfFiller Blog
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https://www.ssa.gov/forms/ssa-1724.pdf
Form SSA 1724 F4 05 2016 Use Prior Editions Social Security Administration CLAIM FOR AMOUNTS DUE IN THE CASE OF A DECEASED BENEFICIARY Form Approved OMB No 0960 0101 Page 1 PRINT NAME OF DECEASED SOCIAL SECURITY NUMBER OF DECEASED If the deceased received benefits on another person s record print name of that worker NAME OF THE WORKER
https://www.ssa.gov/forms/
The form you are looking for is not available online Many forms must be completed only by a Social Security Representative Please call us at 1 800 772 1213 TTY 1 800 325 0778 Monday through Friday between 8 a m and 5 30 p m or contact your local Social Security office
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Social Security Printable Form 1724 - PRINT NAME OF DECEASED BENEFICIARY SOCIAL SECURITY CLAIM NUMBER OF SOCIAL SECURITY ADMINISTRATION TOE 210 Form Approved OMB NO 0960 0101 RELATIONSHIP TO DECEASED Grandchild stepchild etc Form SSA 1724 11 1984 EF 05 2006 Over ADDRESS OF SURVIVING WIDOW ER Please print house number street apt number P O box rural route
