SSA-8001-F5 (12-2002) - Application For Supplemental Security Income

DONE

SSA-8000-BK is a short form of the longer Supplemental Security Income (SSI) application, The short form is often used to start a SSI claim.

At some point during the process, you will be required to complete the longer form.

  • Your answers to both forms should be consistent.
  • The questions are meant to be simple and straight forward.

To see the form, go to: http://primarydisability.com/forms/SSA-8001%20-%20SSI%20Application.pdf