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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.
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
Download the SSA-8000-BK Application for Supplemental Security Income (SSI) form in PDF or Word format. Fill it out online and save as a ready-to-print PDF. Army
19 maj 2023 · If you apply for disability benefits through the Supplemental Security Income program, one of the first (and most important) forms you'll need to complete is the Application for Supplemental Security Income, Form SSA-8000-BK.
Form SSA-8000-BK (05-2021) UF Page 24 of 24 CHANGES TO REPORT WHERE YOU LIVE - You must report to Social Security if: • You move. • You leave the United States for 30 consecutive days. • You are no longer a legal resident of the United • You (or your spouse) leave your household for a States calendar month or longer.
The SSA-8000: Application for Supplemental Security Income (SSI) is completed by an SSA claims representative either at a field office or on the phone. In some SOAR communities, case workers are trained to complete the SSA-8000 and submit the paper version to SSA.
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.
