Form SSA-8552 Interview Confirmation

Form Approved
Social Security Administration

OMB No. 0960-0189

PLEASE COMPLETE AND RETURN THIS FORM TO ME
Interview Confirmation
Claim Number:
Beneficiary:
1.

I/We will be available for your visit as scheduled.
YES
NO
If NO, please phone me as soon as possible to set a better time.

2.

My telephone number is: (

3.

My address is:

4.

Signature:

)

.

Date:

PLEASE USE THE BACK OF THE FORM TO GIVE DIRECTIONS TO YOUR
HOME.

SSA-8552