Who needs an SSA-8000-BK form?
This form is used by individuals who want to apply for the supplemental security income for a variety of reasons including disability or age, for example. This form asks only for the financial status of the individual; to determine medical condition, other SSA forms are used.
What is the SSA-8000-BK form for?
The application for supplemental security income is required by the Social Security Administration to determine if the individual is eligible for the supplemental security income and to determine its amount. This form provides information about the applicant’s financial status, citizenship status, living situation, etc. If the individuals can not fill out the form themselves, they can ask somebody to help them: for example, the official in the SSA.
What documents must accompany the SSA-8000-BK form?
This form is completed together with the SSA 3368 form (Adult Disability Report) which provides the information about the individual’s medical condition.
When is the SSA-8000-BK form due?
The individual should fill out this form when there is a need. The approximate time for completing the application is 40 minutes.
What information should be provided in the SSA-8000-BK form?
The applicant or the helper must fill out the following sections:
- Part I — Basic eligibility (personal information, mailing address, direct deposit payment address, marital status, information about the relatives)
- Part II — Living arrangements
- Part III — Resources
- Part IV — Income
- Part V — Eligibility for food stamps, medical assistance, other benefits
- Part VI — Other questions
- Part VII — Remarks
- Part VIII — Important information for the applicant
The form contains 65 questions and the applicant should answer them thoroughly.
The applicant, the spouse, and witnesses (if their any) also have to sign the form and date it.
What do I do with the form after its completion?
Once the application is completed and signed, it is forwarded to the nearest local security office.
