Forms Catalog Document - SSA6233 :-: SSA :-: Representative Payee Report of Benefits and Dedicated Account

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Representative Payee Report of Benefits and Dedicated Account

Form SSA-6233 is used to ensure that the representative payee is using the benefits received for the account in compliance with the law. The respondents are individuals and organizational representative payees required by law to establish a separate (dedicated) account in a financial institution for certain past-due Supplemental Security Income (SSI) benefits.

Form #: SSA 6233 BK
Agency: Social Security Administration

	TYPE	PAGES	SIZE (KB)	CAPABILITY	WHAT'S NEEDED
	Both Form and Instructions	8		[1] Paper Only	Other Client Software

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