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Templates
Government forms
Form SSA-2855 - Nov 2018

Government forms

Form SSA-2855 - Nov 2018

Statement of Funds You Received

Social Security Representative Payee Information - Form SSA-2855

Originally published by: ssa.gov

Used 26 times

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Frequently asked questions

The SSA-2855 form is used to apply to be appointed as a representative payee for a Social Security beneficiary who is unable to manage their benefits. The form asks for information about the applicant and the beneficiary, including their relationship, financial information, and any legal issues.
Individuals who want to be appointed as a representative payee for a Social Security beneficiary
Social Security Administration

Used 26 times