Form Ssa-721 - Statement Of Death By Funeral Director Page 2

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A MESSAGE FROM SOCIAL SECURITY
Your funeral director is helping the Social Security office by giving you this information about
Social Security benefits. If the deceased was receiving benefits, you need to contact us to report
the death. If you think you may be eligible for survivors benefits, you should contact us to
apply.
HOW SOCIAL SECURITY HELPS FAMILIES
Social Security survivors benefits help ease the financial burden that follows a worker's death.
Almost all children under age 18 will get monthly benefits if a working parent dies. Other
family members may be eligible for benefits, too.
Anyone who has worked and paid Social Security (FICA) taxes has been earning Social
Security benefits for his or her family. The amount of work needed to pay survivors benefits
depends on the worker's age at the time of death. It may be as little as 1-1/2 years for a young
worker. No one needs more than 10 years.
WHO CAN GET SURVIVORS BENEFITS?
Here is a list of family members who usually can get benefits:
• Widows and widowers age 60 or older.
• Widows and widowers at any age if caring for the deceased's child(ren) who
are under age 16 or disabled.
• Divorced wives and husbands age 60 or older, if married to the deceased
10 years or more.
• Widows, widowers, divorced wives, and divorced husbands age 50 or older, if
they are disabled.
• Children up to age 18.
• Children age 18 - 19, if they attend elementary school or high school full time.
• Children over age 18, if they became disabled before age 22.
• The deceased worker's parents age 62 or older, if they were being supported
by the worker.
A SPECIAL ONE-TIME PAYMENT
In addition to the monthly benefits for family members, a one-time payment of $255 can be paid
to a spouse who was living with the worker at the time of death. If there is none, it can be paid
to:
• A spouse who is eligible for benefits.
• A child or children eligible for benefits.
This payment cannot be made if there is no eligible spouse or child.
HOW TO APPLY FOR BENEFITS
How you sign up for Social Security benefits depends on whether or not you are getting other
Social Security benefits.
If you aren't getting Social Security benefits, you can apply for benefits by telephone or by
going to any Social Security office. You may need some of the documents shown on the list
below. But don't delay your application because you don't have all the information. If you don't
have a document you need, Social Security can help you get it.
Form SSA-721 (5-2005) ef (8-2008)

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