Application for Supplemental Security Income--SSI Claims System/Signature Proxy and Preliminary Claims System (PCS)

Application for Supplemental Security Income (SSI)

Person Information Marriage -Screen Package

Application for Supplemental Security Income--SSI Claims System/Signature Proxy and Preliminary Claims System (PCS)

OMB: 0960-0229

Document [pdf]
Download: pdf | pdf
Person Information (PI) - Marriage
Screen Package
Version 14

July 8, 2019

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 1 of 35

Table of Contents
1.

PI Summary ...................................................................................................................................................................................... 3

2.

Multiple SSNs – More Info Link ........................................................................................................................................................ 5

3.

PI Summary with Marriage Section .................................................................................................................................................. 6

4.

Marriage Table – with No records .................................................................................................................................................... 8

5.

Marriage Table – with existing records ............................................................................................................................................ 9

6.

Marriage Table - Yes ....................................................................................................................................................................... 10

7.

Marriage Table - No ........................................................................................................................................................................ 11

8.

Unreported Marriages .................................................................................................................................................................... 12

9.

Unreported Marriages – More Info Link ........................................................................................................................................ 13

10.

Overlapping Marriages ................................................................................................................................................................... 14

11.

Overlapping Marriages – More Info Link ........................................................................................................................................ 15

12.

Discrepant Marriages ..................................................................................................................................................................... 16

13.

Discrepant Marriages – More Info Link .......................................................................................................................................... 17

14.

Delete Marriage Record ................................................................................................................................................................. 18

15.

Add Marriage Record – Default ...................................................................................................................................................... 19

16.

Add Marriage Record – Living Together ......................................................................................................................................... 20

17.

Separated from Spouse – More Info Link ....................................................................................................................................... 22

18.

Add Marriage Record – Get Spouse Information on Record (Spouse Disabled/Blind/over 65 years) ........................................... 23

19.

Add Marriage Record – Spouse Not Disabled/Not Blind/below 65 years ...................................................................................... 25

20.

Add Marriage Record – Prior Marriage (Spouse Deceased) ........................................................................................................... 27

21.

Marriage Information and Non-marital Legal Relationship Information (NMLR) – More Info Link ............................................... 29

22.

Spouse Social Security Number (SSN) – More Info Link ................................................................................................................. 30

23.

Marriage Types – More Info Link ................................................................................................................................................... 31

24.

Special Relationships – More Info Link ........................................................................................................................................... 32

25.

Reason Marriage Ended – More Info Link ...................................................................................................................................... 33

26.

Spouse Name Suffix – Droplist ....................................................................................................................................................... 34

27.

Marriage Type or Non-marital Legal Relationship Information – Droplist ..................................................................................... 34

28.

Special Relationships – Droplist ..................................................................................................................................................... 34

29.

Reason Marriage Ended – Droplist ................................................................................................................................................. 35

30.

Place of Marriage/ Place of marriage ended – Droplists ................................................................................................................ 35

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 2 of 35

1. PI Summary

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 3 of 35

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 4 of 35

2. Multiple SSNs – More Info Link

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 5 of 35

3. PI Summary with Marriage Section

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 6 of 35

Note: The Marriage section will be hidden by default and will ONLY be displayed on-demand based on the request initiated from
respective internal applications like SSI etc.

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 7 of 35

4. Marriage Table – with No records

Note: The marriage table displayed here is with NO existing marriage records.

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 8 of 35

5. Marriage Table – with existing records

Note: The marriage table displayed here is with an existing marriage record.

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 9 of 35

6. Marriage Table - Yes

Note: The marriage table displayed here is with an existing marriage record. If the “Are you or have you ever been married?”
question is answered Yes, the Add marriage button will be displayed.

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 10 of 35

7. Marriage Table - No

Note: The marriage table displayed here is with an existing marriage record. If the “Are you or have you ever been married?”
question is answered No, then the Add marriage button will be hidden.

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 11 of 35

8. Unreported Marriages

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 12 of 35

9. Unreported Marriages – More Info Link

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 13 of 35

10.Overlapping Marriages

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 14 of 35

11.Overlapping Marriages – More Info Link

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 15 of 35

12. Discrepant Marriages

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 16 of 35

13. Discrepant Marriages – More Info Link

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 17 of 35

14. Delete Marriage Record

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 18 of 35

15. Add Marriage Record – Default

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 19 of 35

16.Add Marriage Record – Living Together

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 20 of 35

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 21 of 35

17. Separated from Spouse – More Info Link

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 22 of 35

18.Add Marriage Record – Get Spouse Information on Record (Spouse Disabled/Blind/over
65 years)

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 23 of 35

Note: This page is displayed, when the Spouse is disabled, or blind or over 65 years old.

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 24 of 35

19. Add Marriage Record – Spouse Not Disabled/Not Blind/below 65 years

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 25 of 35

Note: This page is displayed, when the Spouse is not disabled, not blind or not over 65 years old.

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 26 of 35

20. Add Marriage Record – Prior Marriage (Spouse Deceased)

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 27 of 35

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 28 of 35

21. Marriage Information and Non-marital Legal Relationship Information (NMLR) – More
Info Link

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 29 of 35

22. Spouse Social Security Number (SSN) – More Info Link

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 30 of 35

23. Marriage Types – More Info Link

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 31 of 35

24. Special Relationships – More Info Link

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 32 of 35

25. Reason Marriage Ended – More Info Link

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 33 of 35

26. Spouse Name Suffix – Droplist

27. Marriage Type or Non-marital Legal Relationship Information – Droplist

28. Special Relationships – Droplist

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 34 of 35

29.Reason Marriage Ended – Droplist

30.Place of Marriage/ Place of marriage ended – Droplists
The US state droplist and the country droplist will contain the appropriate options as provided in the requirements. Please refer to
the standards website to see the various options.

Person Information (PI) - Marriage - Screen Package V14
July 8, 2019

Page 35 of 35


File Typeapplication/pdf
AuthorOndego, Victor
File Modified2019-07-09
File Created2019-07-09

© 2024 OMB.report | Privacy Policy