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Report to SSA SSA 7162 OCR SM Form

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Routine uses is available in our Privacy Act System of Records Notices SORNs 60-0089 entitled Claims Folders Systems. FOR SSA USE ONLY SSN Privacy Act Statement Collection and Use of Personal Information Sections 203 and 205 of the Social Security Act as amended allow us to collect this information. Furnishing us this information is voluntary. I understand that anyone who knowingly gives a false or misleading statement about a material fact in this information or causes someone else to do so...

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Follow the step-by-step guidelines listed below to electronically sign your report to ssa ssa 7162 ocr sm:

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  2. Click the My Signature button.
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  4. Create your e-autograph and click Ok.
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Related links to Report To SSA SSA 7162 OCR SM
G-SSA-7162-OCR-SM-1.pdf

7162. Continued on the. Reverse. REPORT TO THE UNITED STATES SOCIAL SECURITY ADMINISTRATION ... Form SSA-7162-OCR-SM (7-2011) Destroy Prior Editions ...

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6232 Representative Payee Report See Revised PRA Statement attached Social Security Administration, P.O. Box 6230, Wilkes-Barre, PA 18767-9956 PAYEE'S NAME AND ADDRESS FORM APPROVED OMB NO.

SSA uses Forms SSA-7161-OCR-SM and SSA 7162-OCR-SM to: (1) determine continuing entitlement to Social Security benefits; (2) correct benefit amounts for beneficiaries outside the United States; and (3) monitor the performance of representative payees outside the United States.

You can upload documents by using the Send Response for Individual Case link on the Electronic Records Express Home page. The upload function is also available while accessing a claimant's electronic folder through the Access Claimant's Electronic Folder link.

The information you provide will be used to determine if we can continue to pay you Social Security benefits. Your response is voluntary. However, failure to provide the requested information may prevent us from making an accurate and timely decision on your claim, or could result in the loss of benefits.

Submit Form SSA-7162 to: Social Security Administration, P.O. Box 7162, Wilkes-Barre, PA 18767-7162.

The SSA-7162 is sometimes informally called the "proof of life" form however, the form itself is simply titled "Report to the US Social Security Administration" (see: https://cr.usembassy.gov/wp-content/uploads/sites/248/ssa-7162-REVISED.pdf).

First please read the instructions below. This is important because not all questions are self-explanatory. Then, complete your report and return it to the Social Security Administration, P.O. Box 7161, Wilkes-Barre, Pennsylvania, 18767-7161, U.S.A. in the enclosed enve- lope within 60 days from the day you receive it.

Call us if you have questions about who may sign your application. In most cases, you can take or mail this signed application with your documents to any Social Security office. Any documents you mail to us will be returned to you.

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