Form SSA 795 (Statement of Claimant or Other Person)

Form SSA-795 is used to submit a written statement to the Social Security Administration when no other form fits the situation. It records the claimant's or another person's account of facts relevant to a Social Security claim, along with a signed certification that the information is true. The form also includes space for witness signatures when the statement is signed by mark instead of a full signature.

Fill out the form SSA 795 right here online, open it in a free desktop app to edit it, or download it as a PDF - just use the buttons below.