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The document is Form SSA-11-BK, a request for individuals to be appointed as representative payees for Social Security, Supplemental Security Income, or Special Veterans Benefits. It outlines the information required from the applicant regarding their relationship to the claimant, the claimant's living situation, and reasons for needing a payee. The form also details responsibilities of the payee, including proper use of benefits and reporting changes in circumstances that may affect eligibility.

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Versions	Form popularity	Fillable & printable
2017	4.9 Satisfied (48 Votes)
2014	4.4 Satisfied (553 Votes)
2009	4 Satisfied (25 Votes)
2006	4.4 Satisfied (20 Votes)
2003	4 Satisfied (40 Votes)

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What disqualifies you from being a payee for Social Security?

REMEMBER: The Social Security Act prohibits anyone from serving as payee if he or she was ever convicted of a violation under section 208, 811, or 1632(a). This prohibition is permanent; that is, if an individual was ever convicted under one of these statutes, he or she is barred from serving as payee for life.

Who is the number holder on form SSA 11?

Name of the number holder. Social security number. Name of the person(s) for whom you are filing (claimant) Claimant's social security number.

What is form SSA used for?

A form is a structured document with a fixed arrangement. Forms are used to collect the required information in a logical, meaningful fashion for communication and pass to another entity. When you picture what a form is, you can conjure many different types of documents.

free printable ssa 11 form

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How do I fill out SSA 11?

To complete an SSA 11-BK, you will need to provide the following information: Name of the number holder. Social security number. Name of the person(s) for whom you are filing (claimant) Claimant's social security number. Indication if you are the claimant and what your benefits paid directly to you.

What are the rules for a payee for Social Security?

Your representative payee must use your benefits to pay for your needs. These could include payment for food, shelter, clothes, medical care and personal comfort items. Also, your representative payee must tell SSA of events that could change the amount of, or affect your right to receive, benefits.

Who is the number holder on SSA 11 form?

Name of the number holder. Social security number. Name of the person(s) for whom you are filing (claimant) Claimant's social security number.

What does number holder mean for Social Security?

A person who earns Social Security credits while working for wages or self-employment income. Sometimes referred to as the "Number Holder" or "Worker." Wages.

Who is the owner of a representative payee account?

A representative payee bank account is an account used by an appointed person or organization to manage the finances of a Social Security beneficiary. Representative payees are chosen by the Social Security Administration (SSA) to administer the account for a beneficiary\u2014usually an older or disabled person.

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