Statement of Death Form SSA-721

Overview

The Statement of Death form is a Social Security Administration form (form SSA-721) used to verify a death so survivors of the deceased family member can apply for social security benefits.

 

There are two versions of this form to select from in MIS Professional:

• SSA721 - with Informant Name & Address
• SSA721
  • This version of the form leaves the box below the "Name of Deceased" field empty to be manually populated

 

To run this report:

1. Navigate to Reports - Reports Selection

2. Select the "SSA721" form from the list

3. Click Run