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This version of the form is not currently in use and is provided for reference only. Download this version of
Form SSA-7004
for the current year.
Form SSA-7004 Request for Social Security Statement
What Is Form SSA-7004?
This is a legal form that was released by the U.S. Social Security Administration on June 1, 2022 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-7004?
A: Form SSA-7004 is a form used to request a Social Security Statement.
Q: What is a Social Security Statement?
A: A Social Security Statement is a document that provides information about your earnings history and estimated benefits.
Q: What information do I need to provide on Form SSA-7004?
A: You need to provide your personal information, such as your name, Social Security number, and date of birth, as well as your mailing address.
Q: Is there a fee to request a Social Security Statement?
A: No, requesting a Social Security Statement is free of charge.
Form Details:
- Released on June 1, 2022;
- 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-7004 by clicking the link below or browse more documents and templates provided by the U.S. Social Security Administration.
Download Form SSA-7004 Request for Social Security Statement
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