- Statement of Death By Funeral Director
Form SSA-721 (10-2024) Discontinue Prior Editions Social Security Administration
- 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
- 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
- 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 Forms | SSA
About Forms All forms are free If you can’t find the form you need or require assistance completing a form, call us at 1-800-772-1213 (TTY 1-800-325-0778) Submitting Forms and Supporting Documents You can electronically complete, upload, and submit select forms to Social Security using the Upload Documents feature You can also fax or mail any paper form to your local office, unless
- 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: 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
|