Citizen Services
Federal Benefits Unit
Forms
MOST COMMONLY USED SSA FORMS:
• SSA-1: APPLICATION FOR RETIREMENT INSURANCE BENEFITS
• SSA-7162: REPORT TO UNITED STATES SOCIAL SECURITY ADMINISTRATION
• SSA-7161: REPORT TO UNITED STATES SOCIAL SECURITY ADMINISTRATION BY PERSON RECEIVING BENEFITS FOR A CHILD OR FOR AN ADULT UNABLE TO HANDLE FUNDS
• SSA-21: SUPPLEMENT TO CLAIM OF PERSON OUTSIDE THE UNITED STATES
• SSA-11: REQUEST TO BE SELECTED AS PAYEE
• SF-1199A: DIRECT DEPOSIT SIGN-UP FORM
• SSA-10-BK: APPLICATION FOR WIDOW OR WIDOWER INSURANCE BENEFIT
• SSA-7163: QUESTIONNAIRE ABOUT EMPLOYMENT OR SELF-EMPLOYMENT OUTSIDE THE UNITED STATES
• Application for Enrollment in Medicare
• Request for Termination of Premium Hospital and/or Supplementary Medical Insurance
VA FORMS:
For a complete list of VA forms please visit DVA’s website.
OPM FORMS:
For a complete list of OPM forms please visit OPM’s website.
If you don’t find the form you are looking for please email us to consularsanaa@state.gov