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  • Statement of Death By Funeral Director
    Form SSA-721 (10-2024) Discontinue Prior Editions Social Security Administration
  • Information for Funeral Homes
    Your timely submission of our online Electronic Death Registration (EDR) report or Statement of Death by Funeral Director, Form SSA-721(if the EDR is unavailable), helps us to promptly update our records This ensures family members are informed about their benefit eligibility
  • Social Security Administration
    By simply completing and submiting Social Security’s Statement of Death by Funeral Director, Form SSA-721, in a timely manner, you have enabled Social Security to take prompt action to provide benefits to millions of children, widows, widowers, and other qualified family members of deceased workers
  • SSA - POMS: GN 00304. 005 - Preferred Evidence of Death - 08 14 2023
    Funeral directors using EDR, however, are encouraged to continue to provide members of the public with the “fact sheet” portion of the SSA-721, which provides important information about who is eligible for benefits and how to apply for them
  • Social Security Forms | SSA
    Upload Documents NEW! You can electronically complete, upload, and submit certain forms to Social Security using the Upload Documents feature
  • Social Security Survivors Benefits Toolkit
    Your timely submission of our online Electronic Death Registration (EDR) report or Statement of Death by Funeral Director, Form SSA-721 (if the EDR is unavailable), helps us to promptly update our records
  • SSA - POMS: HI 00805. 721 - Equitable Relief for Certain Individuals . . .
    Program Operations Manual System (POMS) Effective Dates: 06 10 2024 - Present Previous | Next TN 108 (06-24) HI 00805 721 Equitable Relief for Certain Individuals Dually Enrolled in Both Medicare and a Marketplace Plan
  • SSA - POMS: GN 02602. 050 - Reports of Death - 09 04 2024
    • a death certificate (D C), • an SSA-721, or • a Numident record that shows death data based on an Electronic Death Registration (EDR) report




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