Ssa 11 Form Printable – (a) have you used any other name(s)? Use the paper form only, when it is not possible to use erps. (b) enter social security number(s) used. Who must complete a payee application?
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You will need to provide your social security number, or if you represent an organization, the organization's employer identification number. Enter the language you prefer to: I request that i be paid directly.
I Request That I Be Paid Directly.
Check here and answer only items 3, 5, 6, and 8 before signing the form on page 4. For example, we must take paper applications for applicants who do. If you download, print and complete a paper form, please mail or take it to your local social security office or the office that requested it from you.
(Refer To Gn 00502.113, Gn 00502.115, And Gn 00505.010.)
Answer question 3 if english is not your language preference. Program date of birth type gdn. I request that the social security, supplemental security income, or special veterans benefits for the claimant(s) named above be paid to me as representative payee.
(A) Enter Your Date Of.
Contact the social security office nearest you to apply to be a payee. You must be 18 or older to complete the representative payee accounting report online. Check here and answer only items 3, 5, 6, and 8 before signing the form on page 4.
If You Are Under 18 And A Representative Payee, You Must Complete The Paper Representative Payee Report Form You Received In The Mail And Return It To The Address Shown On The Form.
Otherwise, go to item 4. I request that the social security, supplemental security income, or special veterans benefits for the claimant(s) named above be paid to me as representative payee.
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