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Form SSA-7004: Request for Social Security Statement
Requests a statement of your Social Security earnings history and estimated future benefits from SSA.
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SSA Form SSA-7004 - Request for Social Security Statement
Requests a statement of your Social Security earnings history and estimated future benefits from SSA.
Risk Radar
Scan points- 1Not reviewing your statement annually — errors in your earnings record must be corrected while records are available.
- 2Using wrong SSN — the statement will reflect another person's record.
Plain English
Use this form to get a copy of your Social Security statement showing your earnings record and estimated retirement, disability, and survivor benefits.
Submission Date
- Filing date: Request any time, but especially useful before making retirement or financial planning decisions.
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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Personal Info
4 items
Your full name.
Your SSN.
Your date of birth.
Where SSA should mail your statement.
Work History
1 items
Estimated retirement age for benefit calculation purposes.
Signature
1 items
Your signature authorizing SSA to send your statement.
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Questions about SSA Form SSA-7004
What is SSA Form SSA-7004 used for?
Use this form to get a copy of your Social Security statement showing your earnings record and estimated retirement, disability, and survivor benefits.
Who must file SSA Form SSA-7004?
Any U.S. worker who wants to review their Social Security earnings record or get an estimate of future benefits.
What information does SSA Form SSA-7004 require?
A personalized Social Security Statement showing your earnings history and estimated benefit amounts.
When is SSA Form SSA-7004 due?
Request any time, but especially useful before making retirement or financial planning decisions.
Where do I file SSA Form SSA-7004?
Mail the completed form to SSA or create a my Social Security account at ssa.gov for instant online access.
How do I complete SSA Form SSA-7004?
Complete the form with your personal information and mail it to SSA, or access your statement online at ssa.gov/myaccount.
What happens if SSA Form SSA-7004 is filed incorrectly?
Reviewing your earnings record helps catch errors that could reduce your future benefits.
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