Form Ssa-8510 - Authorization For The Social Security Administration To Obtain Personal Information Page 2

Download a blank fillable Form Ssa-8510 - Authorization For The Social Security Administration To Obtain Personal Information in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Ssa-8510 - Authorization For The Social Security Administration To Obtain Personal Information with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Form SSA-8510 (06-2017) UF
Privacy Act Statement
Collection and Use of Personal Information
Sections 205(a) and 1631(e) of the Social Security Act, as amended, authorize us to collect this information. We will use the
information you provide on this form to obtain information about you from any public or private custodian regarding your eligibility
for Social Security benefits.
You do not have to provide us this information. Your responses are voluntary. However, failure to provide all or part of the
information could prevent us from making an accurate and timely decision regarding your Social Security benefits.
We rarely use this information you supply for any purpose other than for reviewing your claim for Social Security benefits.
However, we may use it for the administration and integrity of Social Security programs. We may also disclose information to
another person or to another agency in accordance with approved routine uses, which include but are not limited to the following:
1. To enable a third party or an agency to assist Social Security in establishing rights to Social Security benefits and/or
coverage;
2. To comply with Federal laws requiring the release of information from Social Security records (e.g., to the Government
Accountability Office and Department of Veterans’ Affairs);
3. To make determinations for eligibility in similar health and income maintenance programs at the Federal, State, and local
level; and,
4. To facilitate statistical research, audit, or investigative activities necessary to assure the integrity and improvement of Social
Security programs.
We may also use the information you provide in computer matching programs. Matching programs compare our records with
records kept by other Federal, State, or local government agencies. Information from these matching programs can be used to
establish or verify a person’s eligibility for Federally-funded or administered benefit programs and for repayment of payments or
delinquent debts under these programs.
A complete list of routine uses for this information are available in our System of Records Notices entitled, Claims Folders
Systems (60-0089) and the Master Beneficiary Record (60-0090). These notices, additional information regarding this form,
routine uses of information, and our programs and systems are available on-line at
or at your local Social
Security office.
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by
section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of
Management and Budget control number. We estimate that it will take about 5 minutes to read the instructions, gather the facts,
and answer the questions. Send only comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD
21235-6401.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2