Formularz ssa 21 po polsku 2026

1. Click ‘Get Form’ to open the formularz ssa 21 po polsku in the editor.
2. In Block 1, enter the name of the person whose work record is being claimed. Move to Block 2 and input the worker’s Social Security Number.
3. For Block 3, fill in the worker’s name in row 3a, then list family members living with the worker in rows 3b-3d, including their passport details if they are U.S. citizens.
4. In Block 4, if the worker is alive, repeat names from Block 3. If deceased, skip this block. Enter dates for any time spent outside the U.S. over the past two years.
5. Blocks 5 and 6 pertain to specific employment statuses; ensure you follow instructions carefully based on your situation.
6. Block 7 requires listing all names from Block 3 along with their relationship to the worker.
7. Complete Blocks 8 through 19 as applicable, ensuring all required signatures and addresses are provided accurately.

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