2025 Printable Template
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Form last updated: 03/2024. Please verify this is the current version before use.
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Add your electronic signature to the fillable CMS 40B form to certify it came directly from you.
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How to fill out a CMS 40B online?
Follow these steps to complete your CMS 40B form online.
Step 01
Obtain Form CMS-40B from the official CMS or SSA website.
Step 02
Fill out all required personal information fields accurately.
Step 03
Indicate the reason for your Part B application.
Step 04
Review all entries for accuracy.
Step 05
Sign the form.
Step 06
Submit the completed form to your local Social Security office or follow instructions for submission during a Special Enrollment Period.
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