40b form 2026

1. Click ‘Get Form’ to open the 40b form in the editor.
2. Begin by entering your Social Security Claim Number and BIC at the top of the form. This information is crucial for identification purposes.
3. Indicate whether you wish to enroll for medical insurance under Medicare by selecting 'YES – Part B Only'.
4. Fill in your name, including last name, first name, and middle initial. If applicable, print the Social Security number holder's name if it differs from yours.
5. Provide your mailing address, ensuring accuracy for correspondence. If this is a change of address, check the designated box.
6. Enter your telephone number in the specified format.
7. Sign and date the application where indicated. If a witness is required, ensure they complete their section as well.
8. Review all entries for accuracy before submitting your completed form to your local Social Security office.

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