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You can apply for benefits by calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or by visiting your local Social Security office. An appointment is not required, but if you call ahead and schedule one, it may reduce the time you spend waiting to apply.
The SSA-454-BK (Continuing Disability Review Report) collects information necessary for a CDR and expedited reinstatement (EXR) case. The report records the most current information about the disabled individuals condition since the most recent favorable medical decision or the comparison point decision (CPD).
We mail the Disability Update Report, or Form SSA-455, to disabled beneficiaries to obtain updated information about their medical conditions and recent treatments. You also have the option to complete the SSA-455 online.
That is why a medical record authorization for the release of information is necessary: it protects a healthcare provider from litigation, gives express approval for the receiving party to do with the information what they will, and it provides a public record that the patient, the healthcare provider, and the third
Form SSA-1724-F4 is also known as the Claim for Amounts Due in the Case of a Deceased Social Security Recipient. People should file this Form when a deceased relative was due to receive a payment from the Social Security Administration before their death.
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SEND THE COMPLETED FORM TO YOUR LOCAL SOCIAL SECURITY OFFICE. The office is listed under U. S. Government agencies in your telephone directory or you may call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).
This is the form to use to get permission to obtain information and/or records from SSA about a claimant or beneficiary you do not represent. The claimant or beneficiary may give consent to an individual or an organization to obtain the information and records.
The authorization form (sometimes called a patient HIPAA consent form), essentially serves as a handy dandy permission slip allowing a practice or business associate to use or disclose protected health information (PHI) in the ways a patient wants their data used.
To complete a Form SSA-1724, you need to provide the following information: Name of deceased. Social security number of deceased. Name of worker. Death date and state of residence of deceased. Name of applicant. Relationship to deceased. Next of kin or legal representative of deceased. Signature of applicant.
Form SSA-795, Statement of Claimant or Other Person, is used by a third-party who needs to make a statement about the applicants employment or wages.

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