Forms Catalog Document - SSA8011 :-: SSA :-: Statement of Household Expenses and Contributions

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Statement of Household Expenses and Contributions

Statement of Household Expenses and Contributions - SSA uses the information collected by Form Ssa-8011-F3 to ensure that an individual is eligible to receive SSI payments and to determine the correct amount of benefits due. The information permits SSA adjudicators to determine the income value, if any, of in-kind support and maintenance received by SSI claimants and beneficiaries. The information collected on SSA-8011-F3 is readily available to the respondents and requires no special recordkeeping. In addition, this form is not used for all claims and posteligibility determinations. It is used only when it is needed to document in-kind support and maintenance, and only in cases where the householder's corroboration is needed.

Form #: SSA 8011 F3
Agency: Social Security Administration

	TYPE	PAGES	SIZE (KB)	CAPABILITY	WHAT'S NEEDED
	Form Only	3		[1] Paper Only	Other Client Software

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