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. 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 application, including last name, first name, and middle name.
5. Provide your full Mailing Address, including street number and name, P.O. Box, or route.
6. Enter your City, State, and ZIP code corresponding to your mailing address.
7. Input your Phone Number with area code in the designated field.
8. Sign the application in the Written Signature section; do not print your name.
9. Record the Date Signed to indicate when you completed the application.
10. If applicable, have a witness sign and provide their details in the witness fields.

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