Ssa 821 2025

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The document is a communication from the Social Security Administration (SSA) regarding the need for additional information about a claimant's work history to determine eligibility for disability benefits. It includes instructions for completing and returning a form (SSA-821-BK) within 15 days, details on how to report employment income, and guidance on what information is required. The document also provides resources for assistance and outlines the importance of accurate reporting of work activity.

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Click ‘Get Form’ to open the SSA 821 in the editor.
Begin by filling in your personal information, including your name, Social Security Number, and claim number at the top of the form.
In Section 1, indicate whether you have had any employment income since the specified date. If yes, proceed to Section 3; if no, continue to Section 2.
For Section 2, provide details about any other types of income reported for you. Be thorough and include all relevant information.
In Section 3, list your current or most recent employer's details. Include job title, dates of employment, and rate of pay. Attach any necessary pay stubs as indicated.
Complete additional sections as required based on your work history and any special conditions related to your employment.
Finally, review all entries for accuracy before signing and dating the form at the bottom.

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What is SSA 821 BK used for?

Who needs an SSA-821-BK Form? It is used by the SSA to process information about any work performed by SSDI beneficiaries, who may have gained any earnings for work activities after claiming disability.

What is the SSA 821?

Social Security uses the Work Activity Report form to learn more about the work activity of a disability applicant or beneficiary. If you are applying for disability benefits, the information you provide will help us decide if you can receive benefits.

Where do I send SSA 821?

1-800-772-1213 TTY# (TTY 1-800-325-0778). Send only comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401.

ssa 821 bk

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What is Form SSA 820 BK?

The field office (FO) and processing center (PC) use the SSA-820-BK or e820 (Work Activity Report Self-Employment) to document work activity and to determine if any work incentives apply prior to making a substantial gainful activity (SGA) determination for initial claims, appeals, and continuing disability review (CDR ...