How to complete an SSA 7050 (Step by Step)

To complete Form SSA-7050, you will need to provide the following information:

• Name 
• Social security number
• Date of birth
• Date of death
• Other names used
• Indicate which type of earnings information you need:
  • Itemized statement of earnings ($91)
    • Years requested
    • Reason why you need this information
    • Indicate if you want the earnings certified for an additional $34 fee
  • Certified yearly totals of earnings ($34)
    • Years requested
• If you would like the information send to someone else, provide their name and address
• Signature
• Date
• Relationship 
• Daytime phone
• Address
• Witnesses’ signature and address
• Indicate if you want to make your payment by credit card
  • Type of credit card: Visa, MasterCard, American Express, Discover
  • Credit card holder’s name
  • Daytime phone number
  • Credit card number
  • Credit card expiration date
  • Amount to be charged
  • Credit card holder’ signature