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Form last updated: 03/2024. Please verify this is the current version before use.
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What is a SSA-521 used for?
Form SSA-521 is used by individuals to request the withdrawal of their application for Social Security benefits. This form is important for those who have changed their decision about receiving benefits and wish to cancel their application.
Who needs to fill out a SSA-521 form
Individuals who wish to withdraw their Social Security benefit application within 12 months of the original application date.
How to fill out a SSA-521 online?
Follow these steps to complete your SSA-521 form online.
Frequently Asked Questions
Find quick answers to common questions about our PDF editor.
Form SSA-521 is used to request the withdrawal of a Social Security application.
It should be submitted within 12 months of the original application date.
Check with the Social Security Administration for the most current submission methods.
