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THIS SSA-8006-F4 COVERS THE PERIOD BEGINNING THROUGH PART I Initial Claims Complete Part I when a change in living arrangement occurs after claim is filed and claim is pending. Posteligibility Complete Part I when response s to questions on the SSA-8202 short form Statement for Determining Continuing Eligibility for Supplemental Security Income Payments require additional living arrangement development. 1. CHECK THE BLOCKS WHICH BEST DESCRIBE YOUR LIVING ARRANGEMENTS A. I live with Alone Eligib ...

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What counts as income and resources for SSI?

Income is any item an individual receives in cash or in-kind that can be used to meet his or her need for food or shelter. Income includes, for the purposes of SSI, the receipt of any item which can be applied, either directly or by sale or conversion, to meet basic needs of food or shelter.

Can you live with someone on SSI?

Receiving in-kind support and maintenance can reduce your monthly SSI benefits as much as $300.33, depending on the value of the help you receive. live with other people and pay your share of the food and shelter expenses.

How does my living arrangement affect my SSI benefit amount?

If you live in someone else's household and don't pay your food and shelter costs or pay only part of your food and shelter costs, your SSI benefit may be reduced by up to one\u2013third of the SSI Federal benefit rate.

What is a SSA 8011 form?

AMOUNT. Form SSA-8011-F3 (07-2007) EF (07-2007) Page 3. PRIVACY ACT NOTICE. Section 1631(e)(1) of the Social Security Act authorizes us to collect the information requested on this form to decide if the individual(s) named can receive Supplemental Security Income (SSI) payments from us and, if so, how much.

What income is not counted for SSI?

WHAT OTHER RESOURCES DO NOT COUNT FOR SSI? cash received for medical or social services that we do not count as income is not a resource for 1 month; EXCEPTION: Cash reimbursements of expenses already paid for by the person are evaluted under the regular income and resources rules.

ssa 8011 f3 instructions

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What does SSI consider living expenses?

SSI Living Arrangement Categories Living Arrangement A \u2014 When a person owns a home, has rental liability or pays a pro-rata share of household expenses, they are considered to be living in their own household, and their benefit is based on 100 percent of the income guarantee.

What does SSI consider an asset?

The SSA actually calls assets "resources," which are money or something you own that you could turn into cash. The following items will count as resources for the SSI program: cash in hand. money in a checking or savings account.

What is SSA 8001 form?

SSA-8001: Application for Supplemental Security Income (SSI) (Deferred or Abbreviated) The SSA-8001 is an abbreviated version of the SSA-8000: Application for Supplemental Security Income.

What is considered household expenses for SSI?

As defined in SI 00835.020, the term household costs denotes both the household operating expenses paid by the household for food and shelter (these relate to inside ISM), and the current market value (CMV) of items of food and shelter provided by persons outside the household (these relate to outside ISM).

What is a SSA 8011?

SI 00835.625 SSA-8011 \u2014 Statement of Household Expenses and Contributions.

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