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Form SSA-8 (Application for Lump-Sum Death Payment)

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Form SSA-8 is the official Social Security Administration application for a lump-sum death payment under Title II of the Social Security Act. It collects details about the deceased wage earner, the date and place of death, and the applicant's information needed to process the claim. This form must be filed within two years of the wage earner's death to request the benefit.

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Last updated:20 July 2022
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File size:2.2 mb
Pages:4
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Form SSA-8 (Application for Lump-Sum Death Payment) 1
Form SSA-8 (Application for Lump-Sum Death Payment) 2
Form SSA-8 (Application for Lump-Sum Death Payment) 3
Form SSA-8 (Application for Lump-Sum Death Payment) 4

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