Private Printing and Modification of Prescribed Application and Other Forms

Private Printing and Modification of Prescribed Application and Other Forms

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Private Printing and Modification of Prescribed Application and Other Forms

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Social Security Online - The Official Website of the U.S. Social Security Administration

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Social Security Online - Forms and Publications

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Social Security Online
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Online Social Security Forms and
Publications
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Third Parties
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continue the
process

Publications

Are you sure you need a form? Perhaps you can
complete the task online. Check out our list of
online services if you are unsure.
Social Security Forms

Social Security Publications are available in:
English

To get multiple copies of SSA
publications, write to:
Social Security Administration
Office of Supply and Warehouse
Management
Attn: Requisition and Quality Control
Team
239 Supply Building
6301 Security Boulevard
Baltimore, MD 21235

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You can also get the publications
via:
Phone at (410) 965-2039 or
Email at

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Last reviewed or modified Monday Jul 19, 2010

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Social Security Online Forms Page

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Social Security Online
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Common Social Security Forms
Third Parties click this link to continue the process

Third Party
Organizations
Who Want to
Reproduce
SSA’s Forms

Obtaining an SSA Form for Personal Use

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a Form

Find your form using the Form Search Tool:

If you would like an SSA form and do not see it on our webpage, you can request a copy from us.  You
never have to pay for an SSA form.  All of our forms are free to the public.  To request an SSA
form, please call 1-800-772-1213 (TTY 1-800-325-0778) or you can visit your local office.

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Printing
Forms

SSA offers our forms in Portable Document Format (PDF). PDF files are printer independent
using any printer. To read and print a PDF publication, you must have the Adobe Acrobat Reader
software installed on your PC. You can download the Adobe Acrobat Reader version suitable for your
system by clicking on this button. There is no charge for this software.

SSA forms must be printed on 8 1/2" x 11" white paper. You must print the form with blue or
black ink to be acceptable to SSA.
NOTE: if you live abroad, and cannot obtain 8.5 x 11 paper, the use of A4 size paper (8.25 x 11.7) is the
only acceptable alternative.

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Whether it’s by phone or in person, we want your visit to go as smoothly as possible. You can help by
being ready to answer the required questions and having as many of the needed documents as
possible. Don’t delay filing your claim just because you don’t have all the documents. We’ll help you get
them.
To apply for benefits:
If you live in the U.S. – call us at 1-800-772-1213 (TTY 1-800-325-0778) or visit your local office.
You may also complete an application for Retirement and/or Spouse's Benefits, or Disability Benefits
online.

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Third Party Approval Process

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Third Party Organizations Who Want to
Reproduce SSA Forms
Overview
If a third party organization outside of the Social Security Administration (SSA)
would like to reproduce an SSA form or publication, the organization must receive
written approval from SSA prior to reproducing the item. Prior approval is required
if the organization intends to charge a fee.
Section 1140(a)(2) of the Social Security Act provides as follows:
"No person may, for a fee, reproduce, reprint, or distribute any item consisting of a
form, application, or other publication of the Social Security Administration unless
such person has obtained specific, written authorization for such activity in
accordance with regulations which the Commissioner of Social Security shall
prescribe."
Furthermore, SSA's regulation at 20 CFR 422.527 also requires prior approval:
“Any person, institution, or organization wishing to reproduce, reprint, or distribute
any application, form, or publication prescribed by the Administration must obtain
prior approval if he or she intends to charge a fee.  Requests for approval must be
in writing and include the reason or need for the reproduction, reprinting, or
distribution; the intended users of the application, form, or publication; the fee to
be charged; any proposed modification; the proposed format; the type of
machinery (e.g., printer, burster, mail handling), if any, for which the application,
form, or publication is being designed; estimated printing quantity; estimated
printing cost per thousand; estimated annual usage; and any other pertinent
information required by the Administration.  Forward all requests for prior approval
to:  Office of Publications Management, 6401 Security Boulevard, Baltimore, MD
21235-6401.”
How to Request Approval
To receive approval, the third party organization must first submit the following
information to SSA on company letterhead:
1.
2.
3.
4.
5.
6.
7.
8.

The title and form number to be reproduced,
A summary of how the reproduced form will be used,
The services that the customer is receiving, if a fee is being charged,
The requesting organization's name and corporate address,
The requesting individual's name and address,
The requesting individual's area code and telephone number,
A reproduction of the form to be reviewed,
A description of how the organization intends to provide only the most upto-date edition of SSA forms.

http://www.socialsecurity.gov/online/thirdpartyforms.html[7/28/2010 3:21:46 PM]

Third Party Approval Process

Requests should be forwarded to:
     Social Security Administration
     Forms Management Team
     Office of Publications and Management
     1334 Annex Building
     6401 Security Boulevard
     Baltimore, Maryland 21235
Upon consideration and review, the organization may be approved to reproduce
SSA forms on a case by case basis. At such time, the organization will be issued
a unique, identifying company code. The company code will be required to print
out on each page of the form in the lower left corner. If the approval process is not
completed, the organization's reproductions may not be accepted by SSA.
Once approved, the third party organization is responsible for resubmitting
reproductions when SSA forms are updated. Only current SSA forms may be
reproduced.
 

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Last reviewed or modified Tuesday Jan 26, 2010

http://www.socialsecurity.gov/online/thirdpartyforms.html[7/28/2010 3:21:46 PM]

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