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  1. Form SSA-545-BK, Plan To Achieve Self-Support. For more information on the requirements for a PASS, see Working While Disabled—A Guide To Plans For Achieving Self-Support (Publication No. 05-11017). Where to send this form. Send the completed form to your local Social Security office.

  2. The objective of the PASS is to help disabled individuals find employment that reduces or eliminates SSI or SSDI benefits. How does PASS work? The applicant finds out what training, items, or services they need to reach a work goal.

  3. To apply for your PASS, you'll need to fill out Form SSA-545-BK, available at www.ssa.gov, and then submit your PASS to Social Security for approval. Remember, your PASS must: Be in writing. Be designed specifically for your work goals. Identify a specific work goal that you're capable of achieving. Include a timeline for reaching your work goal.

  4. Have you assigned your Ticket to Work or applied for services with a vocational rehabilitation organization? If Yes, please show below. If you have developed a work plan with this organization, please include a copy with your PASS application. PART C – YOUR PLAN.

  5. Who is eligible for a PASS? If you receive SSI or can become eligible for SSI, a PASS allows you to set aside income or resources to use for your career goals. How does a PASS work? There are savings, resource, income and asset limits that affect eligibility for SSI.

  6. For people who receive Supplemental Security Income (SSI) or can become eligible for SSI, the Plan to Achieve Self-Support (PASS) is a Work Incentive that helps you set aside income and resources for expenses related to your work goals. To get started, you must submit an application for a PASS to be reviewed and approved by Social Security.

  7. An individual can submit a PASS plan for a self-employment goal to help cover start-up expenses only. An individual’s PASS plan should not extend beyond the start-up period.

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