Ssa-11 bk instructions

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A person’s request on this form for SSI payments on behalf of the individual named in this form is to be processed and considered by the Social Security
Form SSA 11-BK, Request to Be Selected as Payee, is a form completed and returned to the Social Security Administration. The purpose of this form is to
You should contact the SSA office nearest you to apply to be a payee. You must then submit an application, form SSA-11-BK (Request to be selected as payee) and
Download Form SSA-11-BK “Request to Be Selected as Payee” · 1. I request that I be paid directly. CHECK HERE · 2. Explain why you think the claimant is not able
Form SSA-11-BK (06-2017) uf (06-2017) estimate that it will take about 11 minutes to read the instructions, gather the facts, and answer the questions.
ADDRESS. PHONE NUMBER. TITLE. DATE OF APPOINTMENT. Explain the circumstances of the appointment. (Use remarks if you need more space.) I. Form SSA-11-BK (03-
U.S. SOCIAL SECURITY ADMINISTRATION. Request to Be Selected as Payee (Form SSA-11-BK), 176. Adult Function Report Form (Form SSA-3373-BK), 186.

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