Form Ssa 1372 Bk

Form SSA 1372-BK, Advance Notice of Termination of Child's Benefits, is a form sent by the Social Security Administration. It informs a party that the child's benefits will be ending either because the child is turning 18 or because of another reason, such as new income information. If the recipient of this form wishes to try to continue the benefits, they must complete the documentation sent along with this form and return it to the SSA.

What is a SSA 1372?

A Form SSA 1372-BK is known as an Advance Notice of Termination of Child’s Benefits. This form will be used and sent by the Social Security Administration in the United States. This form will be used to notify a party that their child’s benefits will be ending. It is typically sent three months before a child turns 18. It may also be sent if the child’s benefits will be terminated for another reason, such as income or family changes.
This form will provide the party with various information, including details about the child that the form pertains to and the date that they will turn 18 or the date benefits will end. The form will also include a document that the party must fill out and return. This form is required in order for a student to continue their benefits even after they turn 18. Make sure you include accurate information about your current enrollment and the school in order to continue receiving benefits.

How to complete an SSA 1372 (Step by Step)

To complete a SSA-1372-BK, you will need to provide the following information:

  • Name and address
  • Social security claim number
  • Name of child beneficiary to whom this statement applies
  • Date child attains age 18
  • Current school attendance
    • Whether you are in school full-time 
    • School’s name and address
    • School year beginning and end date
    • Type of school program
    • Hours per week you are scheduled to attend
    • Expected graduation date from secondary school
  • Last school year
    • School’s name and address
    • Past dates of attendance
    • Type of school program
    • Hours per week you were scheduled to attend
    • Whether you are disabled
    • Whether you are married
    • Whether you expect to earn more than a certain amount in a certain year
    • What you expect your total earnings to be in a certain year
    • The first month you expect to earn over a certain amount in a certain year
    • Whether you are being paid by your employer to attend school
    • Whether you have a bank account
    • Whether you have an unsatisfied warrant for your arrest for a crime or attempted crime of flight to avoid prosecution or confinement or escape from custody
  • Signature of student
    • Name
    • Mailing address
    • Student’s social security number
    • Telephone number
    • Date 
  • Certification by School Official
    • Name of student
    • Social security claim number
    • Certification all information on page two lines 1 and t2 is correct according school records
    • Whether school’s course of study is at least 13 weeks in duration
    • School’s operating basis
    • Whether you received pages 4 and 5 of this form for reporting changes in the student’s attendance
    • Whether you annotated page 4 of the form with the student’s expected graduation date
    • School official signature
    • Title
    • Printed name
    • Date
    • Phone number
  • Notice of Cessation of Full-time School Attendance
    • Name of social security beneficiary
    • Date of birth
    • Social security claim number
    • Student’s social security number
    • Student’s expected graduation date
    • Date student ceased to be a full-time student
    • Reason for withdrawal
    • Name and address of school
    • Signature
    • Printed name
    • Title
    • Date 

Sample Form Ssa 1372 Bk

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Sample Form Ssa 1372 Bk

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