Form Ssa 7050

Form SSA-7050, Request for Social Security Earnings Information, is a form completed by individuals who want more information about their earnings that contributed to both social security benefits and retirement. Depending on the type of request being made, the person completing this form may also need to pay a fee to get the statement.

What is a SSA 7050?

A Form SSA 7050 is known as a Request for Social Security Earnings Information. This form is used to request more detailed information about your yearly earnings that contributed to your social security benefits and retirements amount. This form should be sent to the Social Security Administration in order to request a statement.
This form will require your personal identifying information, including social security information. There will be a fee associated with this request. The fee will depend on what kind of report you need. You can also get the statement certified by the SSA for an additional fee. If you like, you can also request that the statement be sent to a third party instead of you.

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

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Sample Form Ssa 7050


Sample Form Ssa 7050

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