Official form collection
SSI, income & resources forms and guides
Review Supplemental Security Income forms covering income, resources, living arrangements, loans, and household costs.
11 forms in this collection
SSA-263 PDF
Waiver of Supplemental Security Income Payment Continuation
SSA-263, Waiver of Supplemental Security Income Payment Continuation, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-552 PDF
Dedicated Account Use of Funds Statement
SSA-552, Dedicated Account Use of Funds Statement, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-2574 PDF
Information About Joint Checking/Savings Accounts Supplemental Security Income
SSA-2574, Information About Joint Checking/Savings Accounts Supplemental Security Income, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-2855 PDF
Statement of Funds you Received
SSA-2855, Statement of Funds you Received, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-3881-BK PDF
Questionnaire for Children Claiming SSI Benefits
SSA-3881-BK, Questionnaire for Children Claiming SSI Benefits, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-5062 PDF
Claimant's Statement about Loan of Food or Shelter
SSA-5062, Claimant's Statement about Loan of Food or Shelter, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-5064 PDF
Claimant's Statement About Loan For Shelter
SSA-5064, Claimant's Statement About Loan For Shelter, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-8000-BK PDF
Application for Supplemental Security Income (SSI)
SSA-8000-BK, Application for Supplemental Security Income (SSI), is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-8001-BK PDF
Application for Supplemental Security Income (SSI) (Deferred or Abbreviated)
SSA-8001-BK, Application for Supplemental Security Income (SSI) (Deferred or Abbreviated), is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-8010-BK PDF
Statement of Income and Resources
SSA-8010-BK, Statement of Income and Resources, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
Read guideSSA-8011-F3 PDF
Statement of Household Expenses and Contributions
SSA-8011-F3, Statement of Household Expenses and Contributions, is an official Social Security Administration PDF listed in the Social Security Administration forms directory. This guide explains what to prepare, how to review the form, and where to get the current government download.
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