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World War II Military

PDF: Application for Special Benefits for World War II Veterans

Download 13 times Source: www.ssa.gov // Topic: World War II Military File Size: 132.26 kb // Total of Page: 6 Page(s) Share this info: Sample of page (click to enlarge) Short Desciption: VIII (Special Benefits for Certain World War II Veterans) of the. Social Security Act, and for benefits under other programs ... Content Inside: SOCIAL SECURITY ADMINISTRATION FORM APPROVED OMB NO. 0960-0615 APPLICATION FOR SPECIAL BENEFITS FOR WORLD WAR II VETERANS I am applying for all benefits for which I am eligible under title VIII (Special Benefits for Certain World War II Veterans) of the Social Security Act, and for benefits under other programs administered by the Social Security Administration. 1. (a) Print your name First Name, Middle Initial, Last Name FILING DATE Month, Day, Year Actual or Protective (b) Enter your date of birth Month 2. (a) Enter your Social Security Number Day Year ------/---- /-------- (b) Did you ever use any other names (including maiden name) or other Social Security Numbers (SSN)? YES NO (c) Other Names or SSNs Used 3. Sex male female 4. (a) Have you (or has someone on your behalf) ever filed an application for Supplemental Security Income (SSI)? (b) Are you currently receiving SSI payments? If "NO," when did you last receive SSI payments? Yes No ______ Year No Yes ______ Month 5. (a) Were you in the