Cms 40b 2025

1. Click ‘Get Form’ to open the cms 40b application in the editor.
2. In the first field, enter your Medicare Number. This is essential for your application.
3. Next, indicate whether you wish to sign up for Medicare Part B by marking 'YES' if you want medical insurance.
4. Fill in your Name as it appears on your Social Security or Medicare documents, including last name, first name, and middle name.
5. Provide your complete Mailing Address, including street number and name, P.O. Box, or route.
6. Enter your City, State, and ZIP code accurately to ensure proper delivery of correspondence.
7. Input your Phone Number with area code for any follow-up communications regarding your application.
8. Sign the application in the Written Signature section; do not print your name here.
9. If applicable, have a witness sign and provide their details if you marked an 'X' instead of signing.
10. Review all fields for accuracy before submitting the form to ensure a smooth enrollment process.

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