SSA-795, statement of claimant or other person
Give Social Security a signed statement about a claim or other matter, then return it to the office handling that matter.
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Check the official form requirements
Download the current SSA-795, then complete and sign it outside IRIS. Use IRIS for the finished PDF only when the agency's required filing method and the acceptable-use policy permit a printed PDF.
IRIS is an independent printing and mailing service. It is not USPS or Social Security Administration. Review the document, destination, mailing options, and total before checkout.
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