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This legal document is filled out by survivors of wage earners and self-employed individuals to apply for a death payment of $255.
Use this form in cases when you need to notify the Social Security Administration (SSA) about a change in income, as well as to request a reduction of the income-related monthly adjustment amount (IRMAA) of the Medicare premium based of a life-changing event.
This is a form that is used by disabled people who are applying to receive Social Security benefits.
This document is used to apply for Social Security Disability Benefits with the SSA.