The information provided in the form must be true and correct to the best of our knowledge and beliefs. The intentional provision of false information may result in a fine or imprisonment. Submit the completed declaration to your local social security office. Find office addresses in your phone book under U.S. government agencies, on the official SSA website, or by phone at the toll-free number listed on the second page of the form. The latest version of the statement was issued on February 1, 2020. A completed Form SSA-795 is available for download and digital submission via the following link. Form SSA-795 is most commonly used when reconsidering a person`s eligibility to receive SSA benefits. It can be submitted to request the continuation of the benefit while you work on your appeal. You can also use the applicant`s SSA declaration form to provide a valid reason why you were unable to file your complaint in a timely manner. If you are requesting continued benefit payments while your claim is being processed, ask a SSA representative to provide you with Form SSA-795, Declaration of Continued Benefits, which includes a pre-printed statement and checklist. .
There are four main types of pre-printed instructions. You depend on the type of benefits you have received and you want to continue. Just read the explanation, check the appropriate box, sign and date the document. Form SSA-795, Declaration of the Applicant or Another Person, is a form used to submit a signed declaration to the United States Social Security Administration (SSA) regarding an application for Social Security benefits or Supplementary Security Income (SSI). Instructions for completing Form SSA 795 may depend on why you are submitting it. If you are not sure how to make a correct declaration, go to the nearest social security office and an authorized official will give you the appropriate instructions. ADWR maintains and updates SOC information, including the names and addresses of parties to decisions, the location and nature of claims, ownership records, and payment of filing fees that are forwarded to the Maricopa County Court (Gila Adjudication) or the Apache County Court (LCR Adjudication). Information is updated when new SOCs are submitted and when existing SOCs are modified or assigned due to ownership or other changes.
Here you can access copies of the SOCs submitted in the arbitrations. To view these copies, you need the ADWR SOC file numbers. You can obtain them by calling 1-866-246-1414. For more information about accessing blank SOC forms, including changes and assignments to SOCs, see below. Please note that the following forms are PDF files to be completed. You can fill out the form online, but it must be printed, signed and notarized before being sent to ADWR. Entries are not stored in the ADWR database. Gila River Award: Includes the following watersheds: Agua Fria, Lower Gila, San Pedro, Upper Gila, Upper Salt, Upper Santa Cruz and Verde. The general instructions for filing Form SSA 795 are as follows: The SSA uses the information you provide on the SSA-795 to resolve ongoing eligibility issues, determine eligibility for Social Security benefits and ISS, use funds from a representative beneficiary, investigate scams and other program-related issues….