Claim For Amounts Due In Case Of A Deceased Beneficiary ...

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Claim For Amounts Due In

Case Of A Deceased

Beneficiary - Form SSA-1724

A deceased beneficiary may have been due a Social Security payment at the time of death. The Social Security Act provides that amounts due a deceased beneficiary may be paid to the next of kin or to the legal representative of the estate under priorities established in the law. The priority for payment is as follows:

When To Use This Form

A. To the surviving spouse who was either living in the same household as the deceased at the time of death or who, for the month of death, was entitled to a monthly benefit on the same record as the deceased;

B. To children who, for the month of death, were entitled to a monthly benefit on the same earnings record as the deceased;

C. To parents who, for the month of death were entitled to a monthly benefit on the same earnings record as the deceased;

D. To a surviving spouse not qualified under A. above;

E. To children not qualified under B. above;

F. To parents not qualified under C. above; G. To the legal representative of the

deceased person's estate.

How to Obtain the

Below you will find Form in Portable Document Format (PDF). To print the PDF version, you will need the Adobe Acrobat reader software. If

Form

Where To Send The Form

Link to : U.S. Government portal

you do not already have this special software, see our page on downloading and printing PDF documents.

After you download the Adobe Acrobat Reader, come back to this page and download the PDF version of the SSA-1724:

SSA-1724 in

This form is completed to help us decide who should receive any payment due.

EVIDENCE: You should present any evidence you have which shows your relationship to the deceased. If you are claiming money as the legal representative of the estate, you should submit your appointment papers.

If you have further questions about filing for an underpayment call 1-800-772-1213, or contact your local SSA office. If you contact us, be sure to have available any letters to which you may be referring.

Print the PDF SSA-1724 on 8 1/2 x 11 inch paper, complete and sign the form, fold in thirds, insert in a standard size number 10 business envelope (4 1/8 x 9 1/2) and mail to your closest Social Security office. Be sure to include any documentation of your relationship to the deceased or your appointment as legal representative of the deceased's estate. These documents will be returned to you.

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