Form SSA-4111 Certificate of Election for Reduced Widow(Er)'s and Surviving Divorced Spouse's Benefits

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form SSA-4111 for the current year.

Form SSA-4111 Certificate of Election for Reduced Widow(Er)'s and Surviving Divorced Spouse's Benefits

What Is Form SSA-4111?

This is a legal form that was released by the U.S. Social Security Administration on April 1, 2019 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SSA-4111?
A: Form SSA-4111 is the Certificate of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits.

Q: Who can use Form SSA-4111?
A: Form SSA-4111 is used by individuals who are eligible for reduced widow(er)'s and surviving divorced spouse's benefits.

Q: What is the purpose of Form SSA-4111?
A: The purpose of Form SSA-4111 is to certify an individual's decision to receive reduced benefits.

Q: Do I need to submit Form SSA-4111 to receive benefits?
A: Yes, you must submit Form SSA-4111 to the Social Security Administration in order to receive reduced widow(er)'s and surviving divorced spouse's benefits.

Q: Are there any specific requirements to be eligible for these benefits?
A: Yes, you must meet certain age, relationship, and marriage duration requirements to be eligible for reduced widow(er)'s and surviving divorced spouse's benefits.

Q: Can I change my mind after submitting Form SSA-4111?
A: Yes, you can change your mind about receiving reduced benefits by contacting the Social Security Administration within a specific timeframe.

Q: Is there a deadline for submitting Form SSA-4111?
A: Yes, there is a deadline for submitting Form SSA-4111. It is important to submit the form within the specified timeframe to avoid any delays in receiving benefits.

Q: Can I receive full benefits instead of reduced benefits?
A: No, if you are eligible for reduced widow(er)'s and surviving divorced spouse's benefits, you cannot receive full benefits.

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Form Details:

  • Released on April 1, 2019;
  • The latest available edition released by the U.S. Social Security Administration;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SSA-4111 by clicking the link below or browse more documents and templates provided by the U.S. Social Security Administration.

Download Form SSA-4111 Certificate of Election for Reduced Widow(Er)'s and Surviving Divorced Spouse's Benefits

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