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Form SSA-604 Certificate of Incapacity
What Is Form SSA-604?
This is a legal form that was released by the U.S. Social Security Administration on December 1, 2012 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-604?
A: Form SSA-604 is the Certificate of Incapacity.
Q: What is the purpose of Form SSA-604?
A: Form SSA-604 is used to provide information about an individual's incapacity for the purpose of receiving disability benefits.
Q: Who needs to complete Form SSA-604?
A: Form SSA-604 is typically completed by a medical professional who has treated or evaluated the individual's medical condition.
Q: Is there a fee to submit Form SSA-604?
A: No, there is no fee to submit Form SSA-604.
Form Details:
- Released on December 1, 2012;
- 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-604 by clicking the link below or browse more documents and templates provided by the U.S. Social Security Administration.
Download Form SSA-604 Certificate of Incapacity
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