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.
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.
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.
Form Details:
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.