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Please release the following information selected from the list below You must specify the records you are requesting by checking at least one box. We will not honor a request for any and all records or my entire file. Also we will not disclose records unless you include the applicable date ranges where requested* Q O Current monthly Social Security benefit amount My benefit or payment amounts from date to date 5. Q My Medicare entitlement from date 6. Q Medical records from my claims folder s ...

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What is a Social Security Report?

Your Social Security Statement shows how much you have paid in Social Security and Medicare taxes. It explains about how much you would get in Social Security benefits when you reach full retirement age. If you become disabled and unable to work, you may be eligible for disability benefits.

Who has access to SSI?

The Supplemental Security Income (SSI) program provides monthly payments to adults and children with a disability or blindness who have income and resources below specific financial limits. SSI payments are also made to people age 65 and older without disabilities who meet the financial qualifications.

Who signs the SSA-827 form?

Sign the English SSA-827 in the space provided if two signatures are required by State law. WITNESS: In this section of the English SSA-827, one who knows the person signing the form should sign as a witness and provide his or her phone number or address. There is space for a second witness if needed.

What is a Social Security verification form?

What is a Social Security Benefit Verification Letter? The Benefit Verification letter, sometimes called a "budget letter," a "benefits letter," a "proof of income letter," or a "proof of award letter," serves as proof of your retirement, disability, Supplemental Security Income (SSI), or Medicare benefits.

How do I request my Social Security records?

If you are seeking SSA program records about a living individual, you must have the individual complete the Form SSA-3288 available at https://www.ssa.gov/forms/ssa-3288.pdf or complete a consent that complies with our regulation at 20 C.F.R. § 401.100 to request the individual's records.

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