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Go to Question 7. If you write please include a copy of this letter. It will help us answer your questions. Enclosures SSA Pub No. 05-10095 Pre-addressed Envelope Form Approved OMB No. 0960-0059 SOCIAL SECURITY ADMINISTRATION Work Activity Report - Employee Identification - To Be Completed by SSA Name of Claimant or Beneficiary Claimant or Beneficiary s Own SSN Blind Not Blind Please use this form to describe your work activity since Insert alleged onset date date of entitlement or last determi ...

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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.

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 ...