Check IRMAAFilled SSA 44 packet · SSA decides

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We offer a redacted sample of a prepared packet. You will see the SSA 44 form with key fields labeled. You will see the one page filing guide. You will see the document checklist.

Nothing hidden. Nothing confusing.

Redacted sample packet

SSA 44 form fields labeled (sample):

  • Name
  • Life event and date
  • Filing status and tax year
  • Adjusted gross income and tax exempt interest
  • Mailing address
  • Social Security number left blank for you to write in

One page filing guide (sample):

  • Add your Social Security number
  • Sign Step 5
  • Attach evidence
  • How to submit

Document checklist (sample):

  • Evidence of the life event
  • Proof of more recent income

See a redacted sample