SSA-2490-BK 2017-2024 free printable template

Form SSA2490BK (052017) UF Discontinue Previous Editions Social Security AdministrationPage 1 of 7 OMB No. 09600448 (Do not write in this space)APPLICATION FOR BENEFITS UNDER A U.S. INTERNATIONAL

• Who needs Form SSA-2490-BK?
• What is Form SSA-2490-BK for?
• Is Form SSA-2490-BK accompanied by other forms?
• • How do I fill Form SSA-2490-BK?
  • Where do I send SSA 2490 Form?

If the worker isn't living, it should be completed by the worker's spouse. Please note: For filing purposes, “living” means that the worker is in the United States and is considered a “worker” for these purposes. For purposes of determining what constitutes “benefits,” it doesn't matter whether the living worker is actually receiving those benefits or they are being paid to the deceased worker's estate. The only other eligibility condition is an intention to file the application within three months after the worker's death. Please note: If your worker is alive, and you filed an application for benefits from the U.S. Social Security Administration (the “Administration”) pursuant to the international social security agreement, this application must be completed by the surviving worker, or, if applicable, spouse. If the living worker is deceased, this application must be completed by the surviving worker or, if applicable, spouse. Please check “yes” to the box to determine the age of the worker, the amount of Social Security benefits that the worker has been expected to receive and the expected benefit date. Please indicate the source of any benefits payable to the deceased worker, the name and Social Security number (SSN), and the date(s) the deceased worker died. For an expected benefit payment date, it is preferable that you complete this application outline and indicate the dates that you expect to pay the benefits. Please print this form and complete it for each of your workers, if living, and each of your surviving workers if deceased. Please print this form and complete it for each of your workers, if living, and each of your surviving workers if deceased. Please print this form and complete it for each of your workers, if living, and each of your surviving workers if deceased. It is necessary to provide a valid credit card number and a Social Security number (SSN) for each worker. Please print this form and complete it for each of your workers, if living, and each of your surviving workers, if deceased. For filing purposes, if the worker is living, please give the Social Security Administration (the “Administration”) the name and address of the worker's employer as well as the last four digits of the Social Security number for the worker. If the worker is deceased, please give the worker's bank or financial institution name and phone number for verifying the deceased worker's identity.

Who needs Form SSA-2490-BK?

Everyone who wants to claim for social benefits (totalization and regular) from the US needs to fill out Form SSA-2490-??. This form is used by a person or members of his family to receive social payments of different types.

What is Form SSA-2490-BK for?

This form is an of application used to claim for social benefits under any US Social Security agreement and foreign Social Security agreement. It’s printed in English and used only in SSA officers and US service posts. The information you provide while filling out this form is used by Social Security authorities in the US and foreign country to determine if you are entitled to benefits.

Is Form SSA-2490-BK accompanied by other forms?

The Social Security Form 2490 must be accompanied by other documents if needed.

How do I fill Form SSA-2490-BK?

The form is divided into 2 parts. The person who claims for US benefits under any of the agreement has to fill out Part I. If the person claims for foreign benefits under any agreement, he or she has to fill out Part I and Part II (except such countries as Australia, Canada, Japan, South Korea and Spain - they have their own forms).

The applicant must provide the following information:

• Personal information about the worker on whose record the claim is based

• The worker’s social security information

• Information about the worker’s employment or self-employment  

• Social security number of the worker

• Information about the coverage

• Benefits claimed from the foreign country and the US

After completing the form, you have to sign and date it.

Where do I send SSA 2490 Form?

Once signed and completed, the form SSA 2490 must be sent to your local Social Security Office.

People Also Ask about form ssa 2490 bk

How to fill out Social Security deceased beneficiary form?

To complete a Form SSA-1724, you need to provide the following information: Name of deceased. Social security number of deceased. Name of worker. Death date and state of residence of deceased. Name of applicant. Relationship to deceased. Next of kin or legal representative of deceased. Signature of applicant.

What to do if Social Security says you are deceased?

If you suspect that you have been incorrectly listed as deceased on your Social Security record, please visit your local Social Security office as soon as possible.

What Social Security form for deceased beneficiary?

Form SSA-1724 | Claim For Amounts Due In The Case Of Deceased Beneficiary. A deceased beneficiary may have been due a Social Security payment and/or a Medicare Premium refund prior to or at the time of death.

What is SSA-445 form used for?

Submit a SSA-445 application to collect a fee to SSA and be authorized in writing by SSA to collect a fee.

What Social Security form do I need for death benefit?

Form SSA-8 | Information You Need To Apply For Lump Sum Death Benefit. You can apply for benefits by calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or by visiting your local Social Security office.

How do I file a deceased person's Social Security?

If you need to report a death or apply for benefits, call 1-800-772-1213 (TTY 1-800-325-0778). You can speak to one of our representatives between 8:00 a.m. – 7:00 p.m. Monday through Friday. You can also contact your local Social Security office.

For pdfFiller’s FAQs

Where do I find form ssa 2490 bk?

The premium version of pdfFiller gives you access to a huge library of fillable forms (more than 25 million fillable templates). You can download, fill out, print, and sign them all. State-specific ssa 2490 bk form and other forms will be easy to find in the library. Find the template you need and use advanced editing tools to make it your own.

How do I edit form ssa 2490 on an iOS device?

Use the pdfFiller mobile app to create, edit, and share ssa 2490 germany from your iOS device. Install it from the Apple Store in seconds. You can benefit from a free trial and choose a subscription that suits your needs.

How do I fill out surviving benefits on an Android device?

Use the pdfFiller mobile app and complete your ssa 2490 bk instructions form and other documents on your Android device. The app provides you with all essential document management features, such as editing content, eSigning, annotating, sharing files, etc. You will have access to your documents at any time, as long as there is an internet connection.