Social Security Forms and Templates

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298

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Use this form to request detailed information about your earnings that affect your Social Security benefits and retirement amount.

This document provides a guide for financial screening of individuals applying for Supplemental Security Income (SSI) in California. It helps determine eligibility based on financial criteria.

The Social Security Administration (SSA) uses this form to request information about the individual's earning history, in order to estimate their eligibility for Social Security benefits and taxes paid in Social Security.

This is a formal report filed by an individual who believes they have to receive compensation in the form of social security and Medicare taxes.

Use this form to report an individual's working activity after the alleged onset date (AOD) to the Social Security Administration (SSA) in order to qualify for disability benefits.

This Form is used for obtaining a Certificate of Coverage under the Canada Pension Plan for individuals covered under the Agreement on Social Security between Canada and the Republic of Finland. It is available in English, Finnish, and French languages.

This form is used for applying to become a representative payee, who manages the Social Security or Supplemental Security Income benefits for someone who is unable to do so themselves.

This Form is used for obtaining a Certificate of Coverage under the Canada Pension Plan for individuals covered by the social security agreement between Canada and Japan. The form is available in English, Japanese, and French.

This Form is used for obtaining a Certificate of Coverage under the Canada Pension Plan for individuals covered under the social security agreement between Canada and the Kingdom of Norway. It is available in English, French, and Norwegian.

This form is used for obtaining a Certificate of Coverage under the Canada Pension Plan for individuals covered by the Agreement on Social Security between Canada and Sweden. It is available in English, French, and Swedish.

This form is used for obtaining a certificate of coverage under the Canada Pension Plan for individuals covered by the social security agreement between Canada and Portugal. It is available in English, Portuguese, and French.

This Form is used for obtaining a Certificate of Coverage under the Canada Pension Plan for individuals who are covered by the Agreement on Social Security between Canada and the Kingdom of the Netherlands. The form is available in English, Deutsch, and French.

This form is used for certifying your social security number in the state of Kentucky.

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