Download:
pdf |
pdfForm Approved
Social Security Administration
OMB No. 0960-0189
INFORMATION NEEDED TO REVIEW YOUR SOCIAL SECURITY CLAIM
Please have documents or proof of the ITEMS CHECKED below available for your
interview if you have them in your possession. This will help us complete the review of
your claim more quickly. Information regarding any items that are not checked but may
pertain to you should also be mentioned during the interview. With the exception of W-2
forms and tax returns, we must see the original document or a copy certified by the
custodian of the record or by a representative in your local Social Security office.
Social Security or Medicare card for
Birth or baptismal certificate for
recorded before age 5 – otherwise, at least two of the following documents are
needed: school records, census records, delayed birth certificate, children’s birth
certificates, family bible, naturalization certificate, any other documents showing
age or date of birth
Marriage certificates for
Divorce or annulment decrees for all prior marriages
Death certificates for any deceased spouses
Discharge certificate or proof of military service active duty dates
Pay slips or W-2 forms for
Self-employment tax returns for
Other:
SSA-85
File Type | application/pdf |
Author | David Stewart |
File Modified | 2008-02-26 |
File Created | 2008-02-21 |