Ssa statement regarding 2026

1. Click ‘Get Form’ to open the SSA Statement Regarding Contributions in the editor.
2. Begin by entering the name of the wage earner or self-employed person at the top of the form, followed by their Social Security number.
3. Provide your full name and relationship to the claimant. Then, print the name of the claimant and specify your relationship to them.
4. In section 1(a), list each contributor's name and address, along with their relationship to the claimant. Indicate when contributions began and ended, how often they were made, and the average amount contributed.
5. Answer whether there was any break in contributions during the specified period. If yes, provide details about which contributor had a break and why.
6. Complete sections regarding any non-cash contributions and provide information on payments made for the claimant's support.
7. Continue through sections 2 and 3 regarding wages or income of the claimant, ensuring all questions are answered accurately.
8. Finally, sign and date the form, providing your contact information as required. If necessary, include witness signatures.

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