Forms Directory
Social Security Forms
Browse 154 official SSA forms with plain-language explanations. Each page links to the current PDF on SSA.gov — and Submit Online when Social Security offers that option.
Looking for a Social Security form? Use this directory to find the form number, understand what it is for, and open the official document on the Social Security Administration website. Shaw Social Security Advocacy Services does not host SSA forms and is not affiliated with SSA.
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Disability Applications & Evidence
17 forms in this category
- SSA-16 Application for Disability Insurance Benefits
- SSA-454-BK Continuing Disability Review Report
- SSA-455 Disability Update Report Submit online available Details →
- SSA-455-OCR-SM Disability Update Report (Online Version)
- SSA-1222 Seizure Questionnaire Submit online available Details →
- SSA-1224 Headache Questionnaire Submit online available Details →
- SSA-3368-BK Disability Report - Adult
- SSA-3371-BK Pain Report - Child
- SSA-3373-BK Function Report - Adult
- SSA-3375-BK Function Report - Child Birth to 1st Birthday
- SSA-3376-BK Function Report - Child Age 1 to 3rd Birthday
- SSA-3377-BK Function Report - Child Age 3 to 6th Birthday
- SSA-3378-BK Function Report - Child Age 6 to 12th Birthday
- SSA-3379-BK Function Report - Child Age 12 to 18th Birthday
- SSA-3820-BK Disability Report - Child
- SSA-4814 Medical Report on Adult with Allegation of Human Immunodeficiency Virus (HIV) Infection
- SSA-4815 Medical Report on Child with Allegation of Human Immunodeficiency Virus (HIV) Infection
Appeals & Hearings
18 forms in this category
- HA-85 Request to Withdraw a Hearing Request Submit online available Details →
- HA-86 Request to Withdraw an Appeals Council Request for Review Submit online available Details →
- HA-501-U5 Request for Hearing by Administrative Law Judge Submit online available Details →
- HA-510 Waiver of Timely Written Notice of Hearing Submit online available Details →
- HA-520 Request for Review of Hearing Decision/Order
- HA-539 Notice Regarding Substitution of Party Upon Death of Claimant Submit online available Details →
- HA-4608 Waiver of Your Right to Personal Appearance Before an Administrative Law Judge Submit online available Details →
- HA-4631 Claimant's Recent Medical Treatment Submit online available Details →
- HA-4632 Claimant's Medications Submit online available Details →
- HA-4633 Claimant's Work Background Submit online available Details →
- HA-L90 Request To Show Cause For Failure To Appear
- SSA-561 Request for Reconsideration Submit online available Details →
- SSA-765 Response to Notice of Revised Determination Submit online available Details →
- SSA-769 Request for Change in Time/Place of Disability Hearing Submit online available Details →
- SSA-773 Waiver Of Right To Appear - Disability Hearing Submit online available Details →
- SSA-789 Request for Reconsideration - Disability Cessation Submit online available Details →
- SSA-1021 Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs Submit online available Details →
- SSA-3441-BK Disability Report - Appeal
SSI & Living Arrangements
12 forms in this category
- SSA-186 Temporary Institutionalization Statement to Maintain Household and Physician Certification
- SSA-2574 Information About Joint Checking/Savings Accounts Supplemental Security Income Submit online available Details →
- SSA-2855 Statement of Funds you Received Submit online available Details →
- SSA-3830 Certification of Low Birth Weight for SSI Eligibility
- SSA-5062 Claimant's Statement about Loan of Food or Shelter Submit online available Details →
- SSA-5064 Claimant's Statement About Loan For Shelter Submit online available Details →
- SSA-8000-BK Application for Supplemental Security Income (SSI)
- SSA-8001-BK Application for Supplemental Security Income (SSI) (Deferred or Abbreviated)
- SSA-8005 Supplemental Security Income (SSI) Reporting Responsibilities
- SSA-8010-BK Statement of Income and Resources
- SSA-8011-F3 Statement of Household Expenses and Contributions
- SSA-8012 Statement of Household Expenses and Contributions
Overpayments & Waivers
5 forms in this category
- SSA-263 Waiver of Supplemental Security Income Payment Continuation Submit online available Details →
- SSA-634 Request for Change in Overpayment Recovery Rate Submit online available Details →
- SSA-640 Financial Disclosure for Civil Monetary Penalty (CMP) Debt Submit online available Details →
- SSA-2032-BK Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate
- SSA-3105 Important information about your appeal, waiver rights, and repayment options
Work Activity & Earnings
19 forms in this category
- SSA-131 Employer Report of Special Wage Payments
- SSA-199 Vocational Rehabilitation Provider Claim
- SSA-545-BK Plan for Achieving Self-Support
- SSA-671 Railroad Employment Questionnaire Submit online available Details →
- SSA-766 Statement of Self-Employment Income Submit online available Details →
- SSA-820-BK Work Activity Report (Self-Employed Person)
- SSA-821-BK Work Activity Report
- SSA-1391 Employment Network Payment Request Form
- SSA-1945 Statement Concerning Your Employment in a Job Not Covered by Social Security
- SSA-3033 Employee Work Activity Questionnaire
- SSA-3369-BK Work History Report
- SSA-4290-F5 Development Of Participation In Vocational Rehabilitation or Similar Program
- SSA-7011-F4 Statement of Employer
- SSA-7104 Partnership Questionnaire Submit online available Details →
- SSA-7156 Farm Self Employment Questionnaire Submit online available Details →
- SSA-7157-F4 Farm Arrangement Questionnaire
- SSA-7160 Employment Relationship Questionnaire
- SSA-7163 Questionnaire about Employment or Self Employment
- SSA-7163A Supplemental Statement Regarding Farming Activities
Representation & Fees
8 forms in this category
- SSA-1560 Petition For Authorization To Charge And Collect A Fee For Services Before The Social Security Administration
- SSA-1691 Eligible Non-Attorney Representative Application
- SSA-1693 Fee Agreement for Representation Before the Social Security Administration
- SSA-1694 Request for Business Entity Taxpayer Information
- SSA-1696 Claimant's Appointment of Representative
- SSA-1696-SUP1 Claimant's Revocation of the Appointment of a Representative
- SSA-1696-SUP2 Representative's Withdrawal of Acceptance of Appointment
- SSA-1699 Registration for Appointed Representative Services and Direct Payment
Retirement, Survivors & Family Benefits
46 forms in this category
- SSA-1-BK Application for Retirement Insurance Benefits
- SSA-2-BK Application for Wife's or Husband's Insurance Benefits
- SSA-3 Marriage Certification Submit online available Details →
- SSA-4-BK Application for Child's Insurance Benefits
- SSA-5-BK Application For Mother's Or Father's Insurance Benefits
- SSA-7-F6 Application for Parent's Insurance Benefits
- SSA-10 Application for Widow's or Widower's Insurance Benefits Submit online available Details →
- SSA-21 Supplement to Claim of Person Outside the United States Submit online available Details →
- SSA-24 Application for Survivors Benefits (Payable Under Title II of the Social Security Act) Submit online available Details →
- SSA-25 Certification of Election for Reduced Spouse's Benefits Submit online available Details →
- SSA-150 Modified Benefits Formula Questionnaire Submit online available Details →
- SSA-308 Modified Benefits Formula Questionnaire, Foreign Pension Submit online available Details →
- SSA-371 Request For Reinstatement - Title II Submit online available Details →
- SSA-372 Request For Reinstatement - Title XVI Submit online available Details →
- SSA-437-BK Complaint Form for Allegations of Discrimination in Programs or Activities Conducted by the Social Security Administration
- SSA-521 Request for Withdrawal of Application Submit online available Details →
- SSA-546 Worker's Compensation/Public Disability Questionnaire Submit online available Details →
- SSA-552 Dedicated Account Use of Funds Statement Submit online available Details →
- SSA-714 You can make your payment by Credit Card
- SSA-731 Notice to Electronic Information Exchange Partners to Provide Contractor List
- SSA-753 Statement Regarding Marriage Submit online available Details →
- SSA-754-F5 Statement of Marital Relationship
- SSA-760 Certificate of Support Submit online available Details →
- SSA-770-U4 Notice Regarding Substitution of Party Upon Death of Claimant Reconsideration of Disability Cessation
- SSA-783 Statement Regarding Contributions Submit online available Details →
- SSA-792 Statutory Benefit Continuation Election Statement Submit online available Details →
- SSA-795 Statement of Claimant or Other Persons Submit online available Details →
- SSA-1020 Application For Help With Medicare Prescription Drug Plan Costs
- SSA-1199 International Direct Deposit (IDD)
- SSA-1372-BK Advanced Notice of Termination of Child's Benefits
- SSA-1372-BK-FC Advanced Notice of Termination of Child's Benefits (Foreign Claims)
- SSA-1383 Student Reporting Form
- SSA-1383-FC Reporting to Social Security Administration by Student Outside the United States
- SSA-1458 Certification By Religious Group
- SSA-2010 Statement for Determining Continuing Entitlement for Special Veterans Benefits (SVB)
- SSA-2288-OP1 Request for Individual Access to Records Protected Under the Privacy Act Submit online available Details →
- SSA-2490 Application For Benefits Under a U.S. International Social Security Agreement Submit online available Details →
- SSA-2519 Child Relationship Statement
- SSA-3380-BK Function Report - Adult - Third Party Form
- SSA-3881-BK Questionnaire for Children Claiming SSI Benefits
- SSA-3885 Government Pension Questionnaire Submit online available Details →
- SSA-4111 Certification of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits Submit online available Details →
- SSA-4162 Child Care Dropout Questionnaire Submit online available Details →
- SSA-4178 Marital Relationship Questionnaire Submit online available Details →
- SSA-5665-BK Teacher Questionnaire
- SSA-5666 Request for Administrative Information
Representative Payee & Beneficiaries
6 forms in this category
- SSA-8 Application for Lump-Sum Death Payment Submit online available Details →
- SSA-721 Statement of Death by Funeral Director
- SSA-723 Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexplained Absence
- SSA-781 Certificate of Responsibility for Welfare and Care of Child Submit online available Details →
- SSA-788 Statement of Care and Responsibility for Beneficiary
- SSA-1724-F4 Claim for Amounts due in case of a Deceased Beneficiary
SSN, Records & Earnings Statements
7 forms in this category
- SS-5 Application for a Social Security Card Submit online available Details →
- SS-5-FS Application for a Social Security Card (Outside of the U.S.)
- SSA-88 Pre-Approval Form for Consent Based Social Security Number Verification (CBSV)
- SSA-711 Request for Deceased Individual's Social Security Record
- SSA-7004 Request for Social Security Statement
- SSA-7008 Request for Correction of Earnings Record
- SSA-7050-F4 Request for Social Security Earnings Information
Other SSA Forms
5 forms in this category
- IRS-SS-4 Application for Employer Identification Number Submit online available Details →
- IRS-W-4V Voluntary Withholding Request
- SS-4 Application for Employer Identification Number Submit online available Details →
- SSA-632-BK Request for Waiver of Overpayment Recovery
- SSA-8552 Interview Confirmation Submit online available Details →
About this forms directory
Shaw Social Security Advocacy Services is an independent advocacy service and is not affiliated with, endorsed by, or operated by the Social Security Administration or any other federal government agency.
Official forms are free from SSA. Open each PDF or Submit Online link in a new tab on SSA.gov. Catalog contents can change — always confirm the latest version on www.ssa.gov/forms .
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