How to fill out statement of claimant or other person: Fill out & sign online

Here's how it works

01. Edit your how to fill out ssa 795 form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send ssa 795 via email, link, or fax. You can also download it, export it or print it out.

The easiest way to edit 0960-0045 STATEMENT OF CLAIMANT OR OTHER PERSON NAME OF WAGE EARNER, SELF-EMPLOYED PERSON, OR SSI CLAIMANT SOCIAL SECURITY NUMBER NAME OF PERSON MAKING STATEMENT (If other than above wage earner, self-employed person, or SSI claimant) - in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Adjusting paperwork with our feature-rich and user-friendly PDF editor is simple. Adhere to the instructions below to complete 0960-0045 STATEMENT OF CLAIMANT OR OTHER PERSON NAME OF WAGE EARNER, SELF-EMPLOYED PERSON, OR SSI CLAIMANT SOCIAL SECURITY NUMBER NAME OF PERSON MAKING STATEMENT (If other than above wage earner, self-employed person, or SSI claimant) - online quickly and easily:

Sign in to your account. Log in with your credentials or create a free account to test the product prior to upgrading the subscription.
Upload a form. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit 0960-0045 STATEMENT OF CLAIMANT OR OTHER PERSON NAME OF WAGE EARNER, SELF-EMPLOYED PERSON, OR SSI CLAIMANT SOCIAL SECURITY NUMBER NAME OF PERSON MAKING STATEMENT (If other than above wage earner, self-employed person, or SSI claimant) -. Effortlessly add and highlight text, insert images, checkmarks, and signs, drop new fillable fields, and rearrange or remove pages from your document.
Get the 0960-0045 STATEMENT OF CLAIMANT OR OTHER PERSON NAME OF WAGE EARNER, SELF-EMPLOYED PERSON, OR SSI CLAIMANT SOCIAL SECURITY NUMBER NAME OF PERSON MAKING STATEMENT (If other than above wage earner, self-employed person, or SSI claimant) - completed. Download your modified document, export it to the cloud, print it from the editor, or share it with other participants using a Shareable link or as an email attachment.

Take advantage of DocHub, the most straightforward editor to rapidly manage your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

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

Contact us

What is a 795 Social Security form?

Form SSA-795 is a multi-purpose form used to submit written requests to Social Security. The title of the form is "Statement of Claimant", and Social Security prefers to have people use the form as opposed to other types of correspondence because it contains a penalty clause for making false statements.

Who fills out form SSA-795?

SSA uses Form SSA-795 in special situations where there is no authorized form or questionnaire, yet we require a signed statement from the applicant, claimant, or other individuals who have knowledge of facts, in connection with claims for Social Security benefits or SSI.

Is SSI the same as Social Security?

Social Security benefits come from a fund that is created by the taxes paid into the system. SSI benefits, on the other hand, come from the U.S. Treasury's general funds. 3. Additional help with medical costs with SSI.

Who fills out SSA-795?

Form SSA-795, Statement of Claimant or Other Person, is used by a third-party who needs to make a statement about the applicant's employment or wages.

How do you fill out a statement of claimant or other person form?

Indicate the name of the claimant in the first field. Provide the Social Security Number (SSN) of the claimant. If you are not the claimant, enter your name in the box titled "Name of Person Making Statement." Specify your relationship with the claimant. Make your statement to the SSA.

how to fill out a ssa 795 form

what is statement of claimant or other person what is ssa form 795 used for ssi claimant meaning ssa form 795 how to fill out how to fill out statement of claimant or other person ssa benefit continuation form form ssa-795 (2-76) form ssa-795 download what is statement of claimant or other person what is ssa form 795 used for ssi claimant meaning ssa form 795 how to fill out how to fill out statement of claimant or other person ssa benefit continuation form form ssa-795 (2-76) form ssa-795 download

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

Is SSI a recipient?

SSI is for people who are 65 or older, as well as people of any age, including children, who are blind or have disabilities. To qualify for SSI, you must also have little or no income and few resources.

What is the purpose of SSA-795?

1. General information for recording statements on the SSA-795. Use an SSA-795 whenever a signed statement is required or desirable, except when we request some other form or questionnaire or we can readily adapt for the statement.

Where do I send SSA form 795?

The office is listed under U. S. Government agencies in your telephone directory or you may call Social Security at 1-800-772-1213 (TTY 1-800-325-0778). You may send comments on our time estimate above to: SSA, 6401 Security Boulevard, Baltimore, MD 21235-6401.

Can I mail forms to Social Security?

In most cases, you can take or mail this signed application with your documents to any Social Security office. Any documents you mail to us will be returned to you.

Where do I send form SSA-795?

The office is listed under U. S. Government agencies in your telephone directory or you may call Social Security at 1-800-772-1213 (TTY 1-800-325-0778). You may send comments on our time estimate above to: SSA, 6401 Security Boulevard, Baltimore, MD 21235-6401.

Get the up-to-date 0960-0045 STATEMENT OF CLAIMANT OR OTHER PERSON NAME OF WAGE EARNER, SELF-EMPLOYED PERSON, OR SSI CLAIMANT SOCIAL SECURITY NUMBER NAME OF PERSON MAKING STATEMENT (If other than above wage earner, self-employed person, or SSI claimant) --2024 now

Here's how it works

The easiest way to edit 0960-0045 STATEMENT OF CLAIMANT OR OTHER PERSON NAME OF WAGE EARNER, SELF-EMPLOYED PERSON, OR SSI CLAIMANT SOCIAL SECURITY NUMBER NAME OF PERSON MAKING STATEMENT (If other than above wage earner, self-employed person, or SSI claimant) - in PDF format online

Complete this form in 5 minutes or less

Got questions?

What is a 795 Social Security form?

Who fills out form SSA-795?

Is SSI the same as Social Security?

Who fills out SSA-795?

How do you fill out a statement of claimant or other person form?

Complete this form in 5 minutes or less

People also ask

Is SSI a recipient?

What is the purpose of SSA-795?

Where do I send SSA form 795?

Can I mail forms to Social Security?

Where do I send form SSA-795?

what is the ssa 795 form used for

Try more PDF tools