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  • Statement of Death By Funeral Director
    Form SSA-721 (10-2024) Discontinue Prior Editions Social Security Administration
  • Information for Funeral Homes
    Your timely submission of our online Electronic Death Registration (EDR) report or Statement of Death by Funeral Director, Form SSA-721(if the EDR is unavailable), helps us to promptly update our records This ensures family members are informed about their benefit eligibility
  • Social Security Administration
    By simply completing and submiting Social Security’s Statement of Death by Funeral Director, Form SSA-721, in a timely manner, you have enabled Social Security to take prompt action to provide benefits to millions of children, widows, widowers, and other qualified family members of deceased workers
  • Social Security Forms | SSA
    Upload Documents NEW! You can electronically complete, upload, and submit certain forms to Social Security using the Upload Documents feature
  • SSA - POMS: GN 00304. 005 - Preferred Evidence of Death - 08 14 2023
    Funeral directors using EDR, however, are encouraged to continue to provide members of the public with the “fact sheet” portion of the SSA-721, which provides important information about who is eligible for benefits and how to apply for them
  • Social Security Survivors Benefits Toolkit
    Your timely submission of our online Electronic Death Registration (EDR) report or Statement of Death by Funeral Director, Form SSA-721 (if the EDR is unavailable), helps us to promptly update our records
  • SSA - POMS: HI 00805. 721 - Equitable Relief for Certain Individuals . . .
    Program Operations Manual System (POMS) Effective Dates: 06 10 2024 - Present Previous | Next TN 108 (06-24) HI 00805 721 Equitable Relief for Certain Individuals Dually Enrolled in Both Medicare and a Marketplace Plan
  • SSA - POMS: GN 02602. 050 - Reports of Death - 09 04 2024
    • a death certificate (D C), • an SSA-721, or • a Numident record that shows death data based on an Electronic Death Registration (EDR) report
  • SSA - POMS: RS 01602. 611 - SSA-721, Statement of Death by Funeral . . .
    When the field office receives an SSA-721 and there is RR involvement, send a photocopy of the form to the local RRB FO To locate the nearest RRB office, call the RRB help line at 1-877–772–5772, or access the RRB’s website at http: www rrb gov Process the SSA-721 per GN 00304 110
  • Online Services | SSA
    Online Services We are constantly expanding our online services to give you freedom and control when conducting business with Social Security Today, you can apply for retirement, disability, and Medicare benefits online With a personal my Social Security account, you can check the status of an application or appeal, request a replacement Social Security card (in most areas), print a benefit





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