Form SSA-4111 (04-2019) UF-2025

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The document is Form SSA-4111, a Certificate of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits issued by the Social Security Administration. It outlines the requirements and implications for individuals aged 62 or older who wish to receive reduced benefits due to the death of a spouse or ex-spouse. The form requires personal information, including names and Social Security numbers, and details how benefit amounts may be affected based on the timing of the election and prior retirement benefits received by the deceased worker. It also includes privacy statements regarding the collection and use of personal information.

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Versions	Form popularity	Fillable & printable
2019	4.9 Satisfied (21 Votes)
2010	4 Satisfied (37 Votes)

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How to apply for Social Security spousal death benefits?

A widow, widower, or surviving divorced spouse cannot apply online for survivors benefits. You should contact us at 1-800-772-1213 to request an appointment. If you are deaf or hard of hearing, call our TTY number at 1-800-325-0778.

How do you qualify for widows benefits?

Who is eligible for this program? Be at least age 60. Be the widow or widower of a fully insured worker. Meet the marriage duration requirement. Be unmarried, unless the marriage can be disregarded. Not be entitled to an equal or higher Social Security retirement benefit based on your own work.

How do I claim my deceased husbands Social Security?

You can apply for benefits by calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or 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.

Can a divorced wife get her ex husbands Social Security?

Benefits For Your Divorced Spouse If you are divorced, your ex-spouse can receive benefits based on your record (even if you have remarried) if: Your marriage lasted 10 years or longer. Your ex-spouse is unmarried. Your ex-spouse is age 62 or older.

Can a divorced woman claim her ex husbands Social Security?

Any person with a previous marriage that ended in divorce is eligible if the ex-spouse was fully insured for Social Security benefits and the marriage lasted at least 10 years. A person with a previous marriage that ended in widowhood is also eligible if the spouse was fully insured.

What paperwork do I need to collect my ex husbands Social Security?

Form SSA-2 | Information You Need to Apply for Spouses or Divorced Spouses Benefits. You can apply: Online, if you are within 3 months of age 62 or older, or. By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office.

Can a divorced wife get her ex husbands Social Security?

Can spousal benefits be reduced?

A spousal benefit is reduced 25/36 of one percent for each month before normal retirement age, up to 36 months. If the number of months exceeds 36, then the benefit is further reduced 5/12 of one percent per month.

Form SSA-4111 (04-2019) UF-2025

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