This version of the form is not currently in use and is provided for reference only. Download this version of Form SSA-1199-OP76 for the current year.
This is a legal form that was released by the U.S. Social Security Administration on November 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
Download a fillable version of Form SSA-1199-OP76 by clicking the link below or browse more documents and templates provided by the U.S. Social Security Administration.