The Form SSA-8 is an application used to apply for a lump-sum death payment from the Social Security Administration. This form allows individuals eligible under Title II of the Social Security Act to claim a one-time payment after the death of a wage earner or self-employed person. Knowing the required information and filing within the stipulated two-year period after the deceased's date of death are crucial. To start the application process for a lump-sum death payment, click the button below.
The Social Security Administration's Form SSA-8 plays a crucial role in assisting families during a difficult time by providing a lump-sum death payment to eligible applicants. This form, designed for those seeking insurance benefits under Title II of the Social Security Act, needs to be submitted within two years following the wage earner's or self-employed person’s death, ensuring a layer of financial security following the loss of a loved one. It intricately ties into the fold of Federal Old-Age, Survivors, and Disability Insurance, and potentially the Railroad Retirement Act, highlighting the government's effort to provide a safety net. Applicants are required to provide comprehensive details including personal information of the deceased and the applicant, work history, military service, and any previous applications for Social Security benefits. This doesn't only serve as an application for the lump-sum death payment but also explores eligibility for any other insurance benefits available to the deceased's survivor(s). The form’s specificity regarding children, spouses, and parents of the deceased underscores the SSA's thorough process in determining rightful beneficiaries, ensuring that support reaches those it's intended for during times of bereavement. Form SSA-8 encapsulates a blend of practical support and compassionate acknowledgment of loss, facilitated through a structured application process.
Form SSA-8 (01-2020) UF
OMB No. 0960-0013
Discontinue Prior Editions
Social Security Administration
Page 1 of 4
APPLICATION FOR LUMP-SUM DEATH PAYMENT*
I apply for all insurance benefits for which I am eligible under Title II (Federal Old-Age, Survivors, and Disability Insurance) of the Social Security Act, as presently amended, on the named deceased's Social Security record.
(This application must be filed within 2 years after the date of death of the wage earner or self-employed person.)
*This may also be considered an application for insurance benefits payable under the Railroad Retirement Act.
1.
(a) PRINT name of Deceased Wage Earner
FIRST NAME, MIDDLE INITIAL, LAST NAME
or Self-Employed Person (herein referred
to as the "deceased")
(b) Check (X) one for the deceased
Male
Female
(c) Enter deceased's Social Security Number
2.
PRINT your name
3.
Enter date of birth of deceased
(Month, day, year)
4.
(a) Enter date of death
(b) Enter place of death
(City and State)
5.
(a) Did the deceased ever file an application for Social
Yes
No
Unknown
Security benefits, a period of disability under
(If "Yes," answer
(If "No" or "Unknown," go on to
Social Security, Supplemental Security Income, or
hospital or medical insurance under Medicare?
(b) and (c).)
item 6.)
(b) Enter name(s) of person(s) on whose Social
Security record(s) other application was filed.
(c)Enter Social Security Number(s) of person(s) named in
(b). (If unknown, so indicate)
6.ANSWER ITEM 6 ONLY IF THE DECEASED WORKED WITHIN THE PAST 2 YEARS.
(a)About how much did the deceased earn from employment AMOUNT
and self-employment during the year of death?
$
(b) About how much did the deceased earn the year
AMOUNT
before death?
7.ANSWER ITEM 7 ONLY IF THE DECEASED DIED PRIOR TO AGE 66 AND WITHIN THE PAST 4 MONTHS
(a) Was the deceased unable to work because of
(If "No," go on to item 8.)
illness, injuries or conditions at the time of death?
(b).)
(b)Enter the date the deceased became unable to work (Month, day, year)
8.
(a) Was the deceased in the active military or naval
service (including Reserve or National Guard active
(If "No," go on to item 9.)
duty or active duty for training) after September 7,
1939 and before 1968?
(b) Enter dates of service.
From: (Month, Year)
To: (Month, Year)
(c) Has anyone (including the deceased) received, or
does anyone expect to receive, a benefit from any
other Federal agency?
9.
Did the deceased work in the railroad industry for
7 years or more?
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10. (a) Did the deceased ever engage in work that was covered under the social
(If "Yes," answer (b).)
security system of a country other than the United States?
No (If "No," go on to item 11.)
(b) If "Yes," list the country(ies).
11.
(a) Is the deceased survived by a
spouse?
If "Yes," enter information about the marriage at the time of death below. If "No," go on to
item 11(b) if the deceased had prior marriages or item 12 if the deceased never married.
Spouse's Name (including Maiden Name)
When (Month, day, year)
Where (Name of City and State)
How marriage ended
Marriage performed by:
Spouse's date of birth (or age)
Spouse's Social Security Number (If
Clergyman or public official
none or unknown, so indicate)
Other (Explain in "Remarks")
(b)If the deceased had a prior marriage(s) that lasted at least 10 years, enter the information below. If the deceased married the same individual multiple times and the remarriage took place within the year immediately following the year of the divorce, and the combined period of marriage totaled 10 years or more, include the marriage. If no prior marriages or if information is unavailable, please indicate below.
If spouse deceased, give date
of death
Spouse's Social Security Number (If none or unknown, so indicate)
(c)If the deceased has a surviving child(ren) as defined in item 12 and the deceased was married to the child's mother or father but the marriage ended in divorce, enter information on the marriage if not already listed in 11(b). If no prior marriages or if information is unavailable, please indicate below.
12.
The deceased's surviving children (including natural children, adopted children, and stepchildren) or dependent
grandchildren (including stepgrandchildren) may be eligible for benefits based on the earnings record of the deceased.
List below ALL such children who are now or were in the past 12 months UNMARRIED and:
• UNDER AGE 18 • AGE 18 TO 19 AND ATTENDING SECONDARY SCHOOL
• AGE 18 OR OLDER WITH A DISABILITY THAT BEGAN BEFORE AGE 22
(If none, write ''None.'')
Full Name of Child
13.
Is there a surviving parent (or parents) of the deceased who
was receiving support from the deceased either at the time
(If "Yes," enter the name and
the deceased became disabled under the Social Security law
or at the time of death?
address of the parent(s) in "Remarks".)
14.
Have you filed for any Social Security benefits on the
deceased's earnings record before?
NOTE: If there is a surviving spouse, continue with item 15. If not, skip items 15 through 18.
15.If you are not the surviving spouse, enter the surviving spouse's name and address here
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16.
(a) Were the deceased and the surviving spouse living
together at the same address when the deceased died?
(If "Yes," go on to item 17.)
(If "No," answer (b).)
(b)If either the deceased or surviving spouse was away from home (whether or not temporarily) when the deceased died, give the following:
Who was away?
Deceased
Surviving spouse
Date last home
Reason absence began
Reason they were apart at time of death
If separated because of illness, enter
nature of illness or disabling condition.
If you are the surviving spouse, and if you are under age 66, answer 17.
17.
(a) Are you so disabled that you cannot work or was there some period during the last 14
months when you were so disabled that you could not work?
(b) If ''Yes,'' enter the date you became disabled.
Answer 18 ONLY if you are the surviving spouse.
18. Were you married before your marriage to the deceased? If yes, enter information about your
prior marriage(s) that lasted at least 10 years or ended due to death of the spouse. If you
divorced then remarried the same individual within the year immediately following the year of
the divorce and the combined period of marriage totaled at least 10 years, include the marriage.
If you need more space, use "Remarks" section on back page or attach a separate sheet.
For additional information about survivor benefits see our publication at www.socialsecurity.gov.
Remarks: (You may use this space for any explanation. If you need more space, attach a separate sheet.)
I declare under penalty of perjury that I have examined all the information on this form, and on any accompanying statements or forms, and it is true and correct to the best of my knowledge.
SIGNATURE OF APPLICANTDate (Month, day, year)
Signature (First name, middle initial, last name) (Write in ink)
Telephone Number(s) at Which You
May Be Contacted During the Day
(Area Code)
Mailing Address (Number and street, Apt. No., P.O. Box, or Rural Route)
City and State
ZIP Code
Enter Name of County (if any) in which you now live
Direct Deposit Payment Information (Financial Institution)
Routing Transit Number
Account Number
Checking
Enroll in Direct Express
Savings
Direct Deposit Refused
Witnesses are required ONLY if this application has been signed by mark (X) above. If signed by mark (X), two
witnesses to the signing who know the applicant must sign below, giving their full addresses.
1. Signature of Witness
2. Signature of Witness
Address (Number and street, City, State, and ZIP Code)
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RECEIPT FOR YOUR CLAIM FOR THE SOCIAL SECURITY LUMP-SUM DEATH PAYMENT
TELEPHONE NUMBER TO CALL IF YOU HAVE A QUESTION OR SOMETHING TO REPORT
TELEPHONE NUMBER
SSA OFFICE
DATE CLAIM RECEIVED
RECEIPT FOR YOUR CLAIM
Your application for the lump-sum death payment has been received and will be processed as quickly as possible.
You should hear from us within days after you have given us all the information we requested. Some claims may take longer if additional information is needed.
In the meantime, if you change your mailing address, you should report the change.
Always give us your claim number when writing or telephoning about your claim.
If you have any questions about your claim, we will be glad to help you.
CLAIMANT
SOCIAL SECURITY CLAIM NUMBER
DECEASED'S NAME (If surname differs from claimant's name)
Privacy Act Statement - Application for Lump-Sum Death Payment
Collection and Use of Personal Information
Section 202 of the Social Security Act, as amended, allows us to collect this information. Furnishing us this information is voluntary. However, failing to provide all or part of the information may prevent us from making an accurate and timely determination on any claim filed and could result in a loss of a Social Security Administration (SSA) provided benefit.
We will use the information to authorize our one-time disbursement of the lump-sum death payment to a widow, widower, or children as defined in Section 202. We may also share your information for the following purposes, called routine uses:
•Information may be disclosed to contractors and other Federal agencies, as necessary, for the purpose of assisting the SSA in the efficient administration of its programs. We contemplate disclosing information under this routine use only in situations in which SSA may enter a contractual or similar agreement with a third party to assist in accomplishing an agency function relating to this system of records; and
•To a congressional office in response to an inquiry from that office made at the request of the subject of a record.
In addition, we may share this information in accordance with the Privacy Act and other Federal laws. For example, where authorized, we may use and disclose this information in computer matching programs, in which our records are compared with other records to establish or verify a person’s eligibility for Federal benefit programs and for repayment of incorrect or delinquent debts under these programs.
A list of additional routine uses is available in our Privacy Act System of Records Notice (SORN) 60-0089, entitled Claims Folders Systems, as published in the Federal Register (FR) on April 1, 2003, at 68 FR 15784. Additional information, and a full listing of all of our SORNs, is available on our website at www.ssa.gov/privacy.
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. We estimate that it will take about 10 minutes to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate above to: SSA, 6401 Security Blvd, Baltimore, MD 21235-6401.
After a loved one has passed away, managing their final affairs can be a difficult and emotionally taxing process. Among the steps to take is applying for the lump-sum death payment from the Social Security Administration using Form SSA-8. This payment can provide some financial relief during this challenging time. The application must be completed accurately to ensure that the claim is processed smoothly and without unnecessary delay. Below is a step-by-step guide to help you fill out Form SSA-8 properly.
Once the form is fully completed, review it to ensure all information is accurate and then submit it to the nearest Social Security office. This application is a crucial step in finalizing the deceased's affairs, and prompt submission can help expedite the process. Remember, applications must be filed within 2 years after the date of death, so it is important to act in a timely manner. The Social Security Administration will process your claim and contact you if further information is required or to provide the outcome of your application.
What is Form SSA-8 and who should complete it?
Form SSA-8 is an application for a lump-sum death payment provided by the Social Security Administration (SSA). This form is utilized by individuals applying for a one-time payment that is typically available to the surviving spouse or children of a person who has worked and paid Social Security taxes. Eligibility hinges on the deceased having accrued sufficient Social Security credits at the time of death.
What is the lump-sum death payment and how much is it?
The lump-sum death payment is a one-time benefit payment made by the SSA to eligible survivors of a deceased worker. As of the last update, this benefit amounts to $255. It is payable to a surviving spouse who was living with the deceased at the time of death or, if there is no surviving spouse, to the deceased's child or children if they are eligible based on Social Security's criteria.
How do I apply for the lump-sum death payment?
To apply for the lump-sum death payment, you must complete Form SSA-8 and submit it to the Social Security Administration. You can obtain this form from the SSA website or your local SSA office. After filling out the form, it should be mailed or delivered in person to your local Social Security office. Ensure all questions are answered accurately to avoid delays in processing.
What information do I need to fill out Form SSA-8?
When completing Form SSA-8, you'll need detailed information about both the deceased and the applicant, including Social Security numbers, dates of birth, place of death for the deceased, employment earnings before death, and any previous applications for Social Security benefits. Information regarding any surviving spouse, children, or dependents is also required.
Is there a deadline for applying for the lump-sum death payment?
Yes, there is a deadline. The application for the lump-sum death payment must be filed within two years of the date of the deceased's death. Filing beyond this timeframe generally results in the forfeiture of the right to claim the payment.
Can the lump-sum death payment be received if the deceased was not living in the United States?
Yes, the lump-sum death payment can still be applied for if the deceased was not living in the United States, provided that the deceased worker had enough Social Security credits and the applicant meets the eligibility criteria. However, there may be additional requirements for proof of death or for receiving payment outside the United States.
What if I do not know all the answers to the questions on Form SSA-8?
If you are unsure about how to answer some of the questions on Form SSA-8, it's important to seek assistance. You can contact the Social Security Administration directly for help. It's better to get clarity before submitting the application to prevent any unnecessary delays or issues with your claim.
How long does it take to process Form SSA-8 and receive the lump-sum death payment?
The processing time for Form SSA-8 and the release of the lump-sum death payment can vary. After submitting the application, the Social Security Administration will review it, which can take several weeks. Once approved, payment is typically made promptly, but it's advisable to keep in touch with the SSA for updates on your application status.
Filling out the SSA-8 form can be a daunting process, filled with potential pitfalls that individuals may inadvertently fall into. A common error occurs when individuals fail to accurately print the name of the deceased. This name should match the social security records exactly, including the use of the middle initial. Such inaccuracies can delay processing or result in denial of the application.
Another misstep involves the section that requests the deceased's social security number. At times, applicants might enter incorrect digits or leave this field blank if they are unsure. However, providing the correct social security number is crucial for the Social Security Administration (SSA) to identify the deceased's record and process the application correctly.
Incorrectly dating critical events, such as the deceased’s date of birth or date of death, is another common mistake. It is essential that these dates are entered accurately as they are fundamental to determining eligibility for the lump-sum death payment. Misdated entries can complicate the decision-making process or affect the outcome of the application.
Applicants often overlook or inaccurately respond to the question about the deceased's prior application for Social Security benefits. It's key to indicate whether the deceased ever applied for benefits, as it can impact the application under consideration. An incorrect answer can lead to unnecessary delays in processing.
The question regarding the deceased's earning in the year of and before their death is another section prone to errors. Providing an approximate amount may seem challenging, but it is necessary for accurately determining the lump-sum death payment. Estimates or inaccuracies here can adversely impact the calculation of benefits.
A critical element that is frequently mishandled is the determination of whether the deceased was unable to work due to illness, injury, or conditions at the time of their death. Accurately addressing this item is vital for the application, especially if the deceased died prior to reaching full retirement age and within the past 4 months.
Questions pertaining to military service, work in the railroad industry, or employment under a social security system of a country other than the United States are also areas where applicants may stumble. These sections require precise responses to ascertain eligibility for benefits under various scenarios and federal Acts.
Furthermore, information about the deceased’s marital status at the time of death, including prior marriages that lasted at least 10 years, is imperative. Failure to provide comprehensive and accurate marital history can affect the eligibility of the surviving spouse or children for potential benefits.
Listing the deceased's children, stepchildren, or dependent grandchildren accurately is another area where errors are commonplace. It's important to include all eligible children as defined in the form to ensure they are considered for any benefits they may be entitled to.
Finally, an often overlooked but critical mistake is not signing the application or providing necessary contact information. The lack of a signature or contact details can significantly delay the processing or communication regarding the application. Ensuring all information is reviewed for accuracy and completeness before submission can prevent these common mistakes.
When managing the aftermath of a loved one's death, individuals often need to navigate a complex array of forms and documents beyond the Social Security Administration's SSA-8 form for the lump-sum death payment. These documents are essential for accessing benefits, settling estates, and adhering to federal requirements.
This collection of forms and documents is fundamental for those managing a loved one's final affairs. It's important to address these matters promptly and with attention to detail, ensuring the deceased's wishes are honored and survivors receive the benefits to which they are entitled. Navigating this process can be challenging, but understanding the importance and function of each document can provide some clarity during a difficult time.
The SSA-1099 form, issued to report Social Security benefits received, is similar to the SSA-8 form in that both involve Social Security Administration processes directly impacting beneficiaries. While the SSA-8 form is used to apply for a lump-sum death payment following a beneficiary's death, the SSA-1099 form provides individuals with a summary of the benefits they received during the previous year. Both forms are crucial for personal record-keeping and for fulfilling obligations with the Internal Revenue Service.
Form W-4V, the Voluntary Withholding Request, parallels the SSA-8 form through its connection to Social Security benefits. Individuals use Form W-4V to request the withholding of federal income tax from certain government payments, including Social Security benefits. This link underscores the intertwined nature of taxation and Social Security benefits, illustrating a shared sphere of influence between managing current benefits through W-4V and posthumous benefits through the SSA-8.
The Application for Enrollment in Medicare - Part B (Medical Insurance) shares a functional resemblance with the SSA-8 form, as both engage with the Social Security Administration for crucial benefits. The Medicare application is essential for individuals seeking to enroll in Part B of the Medicare program, which covers physician services, outpatient care, and other medical services. Both forms represent critical steps in accessing benefits through Social Security, albeit targeting different stages of an individual’s life and needs.
The I-9 form, used for verifying the identity and employment authorization of individuals hired for employment in the United States, shares a broad similarity with the SSA-8 form by necessitating accurate personal information and documentation for formal processes. While the I-9 form serves employment verification purposes, requiring documentation such as Social Security numbers that tie into an individual’s work eligibility, the SSA-8 form applies specifically to Social Security benefits following a death, highlighting the broader context of personal and governmental documentation.
The W-2 form, which employers issue to employees and the SSA to report annual wages and taxes withheld, loosely corresponds with the SSA-8 form in the landscape of Social Security and tax implications. Importantly, the wages reported on the W-2 form contribute to the earnings record, which ultimately affects Social Security benefits calculations and eligibility, including potential benefits claimed via the SSA-8 form after a beneficiary's death.
The Disability Update Report (SSA-455) also aligns with the SSA-8 form through its role in the administration of Social Security benefits. Used to update the status of individuals receiving disability benefits, the SSA-455 helps the SSA determine continued eligibility. Both the SSA-8 and SSA-455 encapsulate critical interactions with the SSA, aimed at maintaining or commencing benefit payments based on changing life circumstances.
The SSA-44 form, Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event, bears similarity to the SSA-8 involving significant life events that impact Social Security benefits. The SSA-44 is used to report changes in income due to specific events, potentially adjusting Medicare Part B and D premium costs. Both forms demonstrate the necessity of reporting significant life changes to the SSA, reflecting on financial adjustments within the realm of Social Security and Medicare benefits.
The Direct Deposit Sign-Up Form (SF 1199A) for federal payments, including Social Security benefits, mirrors the SSA-8 in its facilitation of benefit transactions. By enabling beneficiaries to receive their payments electronically, the Direct Deposit form ensures a secure and efficient transfer of funds, which is essential for both ongoing benefits and the lump-sum death payment processed through the SSA-8 form.
Lastly, the Advance Designation of Representative Payee form, which allows Social Security beneficiaries to designate a representative payee in advance of possibly becoming unable to manage their benefits, shares the anticipatory nature of the SSA-8 form. Both forms proactively address potential future needs related to Social Security benefits, whether managing them through a designated third party or applying for posthumous benefits on behalf of a deceased beneficiary.
When filling out the SSA-8 form for a lump-sum death payment, it is important to follow certain guidelines to ensure the application process is smooth and successful. Below are key do's and don'ts to consider:
Remember, the SSA is committed to assisting individuals during difficult times. Should you have any questions or need assistance with filling out the form, do not hesitate to contact the nearest Social Security office. Compassion and understanding guide their services, aiming to provide support promptly and efficiently.
Many individuals find the process of applying for Social Security benefits, particularly the Lump-Sum Death Payment via Form SSA-8, to be complex and often misunderstood. Highlighted below are ten common misconceptions about the SSA-8 form and their clarifications to provide better understanding and guide applicants through the process.
Understanding the actual requirements and clearing up common misconceptions about the SSA-8 form can significantly smooth the application process for those dealing with the loss of a loved one, ensuring that eligible survivors receive the benefits they are entitled to in a timely manner.
Understanding the SSA-8 form is crucial for efficiently applying for the lump sum death payment under Social Security benefits. Here are key takeaways to ensure a smooth application process:
All applicants should carefully review their application and supporting documents to ensure they encompass all required information for a complete and accurate submission. Exactness in filling out the form can significantly influence the outcome and timeliness of the benefits processing.
Expression of Interest Example - Definition and importance of declaring current partnership status in the EOI.
C 159B - The dissolution process requires careful adherence to New Jersey’s corporate laws for completeness.