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PART 1 - BASIC ELIGIBILITY - Answer the questions below beginning with the first moment of the filing date month. PART 2 - LIVING ARRANGEMENTS - The questions in this section refer to the signature date.
The SSA-8000 is the form used by the Social Security Administration (SSA) to gather all the non-medical information for the SSI application.
Form SSA-8000-BK (05-2021) UF Discontinue Prior Editions Social Security Administration Page 1 of 24 OMB No. 0960-0229. APPLICATION FOR SUPPLEMENTAL SECURITY INCOME (SSI) Note: Social Security Administration staff or others who help people apply for SSI will fill out this form for you. I am/We are applying for Supplemental Security Income
19 maj 2023 · Form SSA-8000-BK includes several questions about your citizenship status—whether you're a citizen of the United States or if you meet the criteria for non-citizens to receive SSI. The form also asks if you've ever left the country for 30 days or more and when that happened (if it did).
The Modernized Supplemental Security Income Claims System (MSSICS) is the preferred method of taking SSI claims but there are occasions when a paper application must be taken. The SSA-8000-BK is the primary paper application form to apply for SSI payments.
APPLICATION FOR SUPPLEMENTAL SECURITY INCOME (SSI) TYPE OF CLAIM Individual Individual with Ineligible Spouse Couple Child. PART 1 - BASIC ELIGIBILITY - Answer the questions below beginning with the first moment of the filing date month. Child with Parents.
Apply for Supplemental Security Income (SSI) Who do you want to apply for? An adult (age 18 and over) A child (under age 18) Return to top. Support. Contact us.
