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Social Security Administration (SSA)
Forms in Microsoft Word

Our MS Office-certified designers make Microsoft Word documents that are completely fillable, unprotected, and easy to use, save, copy, and use again. Your forms are e-mailed right to you. We always do a careful proof of each form to be sure it looks just like the federal form. In 9 years, we have designed over 15,000 Forms for 22,000 businesses, government agencies, and individuals, and we take pride in our personal customer service, excellent products, and $-back guarantee! (Note: If you don't see your form, just email us. We add forms daily & make personalized forms to order.) Questions: E-mail is fastest ( or call 907-746-8631. You may obtain all Social Security Forms and assistance to complete the forms, for free, from the Social Security Administration. 

Form No. Form Title Price Buy Now
SSA-21 Form
Supplement to Claim of Person Outside the
United States

Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event


SSA-54 Form

Authorization for SSA to Disclose Tax Information for Your Appeal of Your Medicare Part B Income-Related Monthly Adjustment Premium Amount


SSA-89 Form

Authorization for the Social Security Administration To Release Social Security Number (SSN) Verification


SSA 150 Form
SSA-308 Form
Modified Benefits Formula Questionnaire, Foreign Pension

Complaint Form for Allegations of Discrimination in Programs or Activities Conducted by the Social Security Administration


SSA HA-501 Form
Request for Hearing by Administrative Law Judge
SSA HA-510 Form
Waiver of Written Notice of Hearing
SSA HA-520 Form
Request for Review of Decision/Order of ALJ
SSA-545 Form
Plan for Achieving Self-Support
SSA-546 Form
Worker's Compensation/Public Disability Questionnaire
SSA-561-U2 Form
Request for Reconsideration
SSA-711 Form

Request for Deceased Individual's Social Security Record



You Can Make Your Payment By Credit Card


SSA-721 Form

Statement of Death by Funeral Director


SSA-753 Form

Statement Regarding Marriage


SSA-754 Form

Statement of Marital Relationship


SSA 783 Form
Statement Regarding Contributions
SSA-789 Form
Request for Reconsideration - Disability Cessation
SSA 795 Form
SSA-827 Form
Authorization to Disclose Information to SSA

State Agency Ticket Assignment Form Ticket To Work and Self Sufficiency Program


SSA-1372 Form
Student's Statement Regarding School Attendance

Request for Business Entity Taxpayer Information


SSA-1695 Form Identifying Information for Possible Direct Payment of Authorized Fees
SSA-1696 Form
Appointment of Representative
SSA-1724 Form
Claim for Amounts Due in Case of a Deceased Beneficiary
SSA-1945 Form

Statement Concerning Your Employment In a Job Not Covered by Social Security


SSA-3288 Form
Consent for Release of Information
SSA 3441-BK Form
SSA 3373-BK
Disability Report Adult

Questionnaire for Children Claiming SSI Benefits


SSA 3885 Form
Government Pension Questionnaire

Certification of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits



Waiver of Your Right to Personal Appearance Before an Administrative Law Judge


SSA HA-4631 Form
Claimant's Recent Medical Treatment
SSA HA-4632 Form
Claimant's Medications
SSA HA-4633 Form Claiman's Work Bankgroud
SSA HA-4631, 4632, & 4633 Form Combines 4631, 4632, and 4633 into one convenient document!
SSA-7008 Form
Request for Correction of Earnings Record
SSA 7050 Form
SSA-7104 Form
Partnership Questionnaire
SSA 7156 Form
Farm Self-Employment Questionnaire
SSA-7157 Form
Farm Arrangement Questionnaire
SSA 8001 Form Application for Suplemental Security Income


You may obtain all Social Security Forms and assistance to complete the forms, for free, from the Social Security Administration.


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