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The document is a form from the Social Security Administration (SSA) titled 'Physician's/Medical Officer's Statement of Patient's Capability to Manage Benefits.' It requests medical professionals to assess whether a patient can manage their own Social Security benefits or if a representative payee is needed. The form includes instructions for completion, privacy information, and legal disclaimers regarding the use of provided information.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (120 Votes)
2010	4.2 Satisfied (51 Votes)
2002	4.1 Satisfied (67 Votes)
1992	4.1 Satisfied (37 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can I fill out the representative payee report online?

Payees who are under 18 must complete the paper version. Individual payees who are 18 or older can complete it online by logging in to their my Social Security account.

What is SSA 789 form used for?

If you receive a decision that you no longer have a qualifying disability, you will need to file a Request for Reconsideration Disability Cessation Right to Appear (SSA-789). This form is not online, but you can download this form at .ssa.gov/forms.

What is the purpose of SSA form?

An SSA-1099 is a tax form we mail each January to people who receive Social Security benefits. It shows the total amount of benefits you received from us in the previous year. It also tells you how much Social Security income to report to the Internal Revenue Service (IRS) on your tax return.

What is a medical source statement of ability to do work?

A medical source statement (MSS) is a written document where your doctor shares: Their diagnosis of your condition. Their opinion of its severity. Their opinion on your ability to work because of your condition.

What is the purpose of the SSA 795 form?

SSA uses the SSA-795 to obtain information from claimants or other persons having knowledge of facts in connection with claims for Social Security benefits or Supplemental Security Income (SSI) payments when there is no standard form to collect the needed information.

What is form SSA 787 for?

SSA-787: Physicians/Medical Officers Statement of Patients Capability to Manage Benefits (PDF)

Can I complete form w 4V online for Social Security?

Your Clients Can Get a W-4V Online To start, change, or stop federal income tax withholding from their Social Security benefits, your clients can sign and submit IRS form W-4V directly to their local Social Security office.

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