Certificate of Coverage Request via Internet - Individuals (minus Denmark, Netherlands, Norway, & Sweden)

Certificate of Coverage Request

Documents and Forms

Document Name Document Type
Screen Shot Template for Most Countries (revised).pdf www.ssa.gov/international/totalization_agreements.html Other-Internet Application
Totalization Agreements Unified Webpage Screen Shot.docx Other- Totalization Agreements Unified Webpage Screen Shot
Screen Shot Template for Most Countries (current).pdf Screen Shot Template for Most Countries (current) IC Document

Information Collection (IC) Details