FORMS
SSA is now offering our most requested forms for download in both Postscript and Portable Document Format (PDF). PDF files are printer independent that can easily print a duplicate of the original publication using any graphics printer (i.e., laser, inkjet, dot-matrix or plotter). The PDF was developed by Adobe Systems, Inc. and allows the user to print a publication close in appearance to the original printed version, preserving typography, columns, charts, tables and graphics.
To read and print a PDF publication, you must have the Adobe Acrobat Reader software installed on your PC. Adobe Systems, Inc. permits the Social Security Administration and other organizations to offer this software to the public free of charge. You can download the Adobe Acrobat Reader version suitable for your system from the
Adobe Home Page . Remember to enable the
"Load to Disk" capability of your WWW browser prior to downloading the Adobe Acrobat Reader.
CURRENTLY AVAILABLE SSA FORMS
- Request for Hearing by Administrative Law Judge
(HA-501-U5)
- Claimant's Statement when Request for Hearing is Filed and the Issue is Disability
(HA-4486)
- Application for a Social Security Card
(SS-5)
- Application for a Social Security Card - Foreign Service
(SS-5-FS)
- Solicitud Para una Tarjeta de Seguro Social
(SS-5-SP)
- Plan for Achieving Self-Support
(SSA-545)
- Request for Reconsideration
(SSA-561-U2)
- Request for Waiver of Overpayment Recovery or Change in Repayment Rate
(SSA-632-BK)
- Authorization for Source to Release Information to the Social Security Administration
(SSA-827)
- Reconsideration Disability Report
(SSA-3441-F6)
- Request for Earnings and Benefit Estimate Statement
(SSA-7004)
Solicitud de Declaración de Ganancias y Cálculo de Beneficios
(SSA-7004-SP)