Form SSA-8 PDF Details

Answer item 5 only if the deceased worked within the past 2 years. Answer item 6 only if the deceased died prior to age 66 and within the past 4 months.

Item 17: Answer item 17 only if you are the surviving spouse.

Item 16: If you are the surviving spouse, and if you are under age 66, answer item 16.

Witnesses: Witnesses are required only if this application has been signed by mark (X) above; two witnesses to the signing who know the applicant must sign below.

Where to send: Send or bring the completed form to your local Social Security office.

Railroad Retirement Act: This may serve as an application for insurance benefits payable under the Railroad Retirement Act.

QuestionAnswer
Form NameForm SSA-8
Form Length4 pages
Fillable?Yes
Fillable fields130
Avg. time to fill out22 min
Edition12-2024
Issuing agencySocial Security Administration
Where to sendYour local Social Security office
Filing deadlineWithin 2 years after the date of death of the wage earner or self-employed person
Other namesSSA-8, SSA8, SSA 8, Form SSA-8, SSA-8 form, Application for Lump-Sum Death Payment, Social Security death benefit form
Official sourceForm SSA-8 (Rev 12-2024), Social Security Administration

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