Edit, Download, and Sign the Social Security Administration Form SSA-787 Instructions
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How do I fill this out?
To fill out the SSA-787 form, begin by carefully reading each section. Ensure you provide accurate information about the patient and the medical source's assessment. Double-check for any mistakes before submission.

How to fill out the Social Security Administration Form SSA-787 Instructions?
1
Read the instructions fully before starting.
2
Fill in the patient's personal and identifying information.
3
Answer the assessment questions based on your observations.
4
Sign and date the form once completed.
5
Return the form to the Social Security Administration as instructed.
Who needs the Social Security Administration Form SSA-787 Instructions?
1
Individuals aged 18 and over with mental impairments need this form to assess their capability.
2
Family members of patients requiring assistance benefit from completing this form.
3
Doctors or medical sources need to evaluate patients' financial management skills.
4
Payees may require this form to confirm their appointment and responsibilities.
5
Social Security Administration requires this form to make informed decisions about benefit management.
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What are the instructions for submitting this form?
Submissions of the SSA-787 form can be done via mail. Please ensure that the completed form is sent to the Social Security Administration at the appropriate address provided in the instructions. Alternatively, you can fax your submission to the number listed for your state. Always double-check that your contact information is included to facilitate easy communication.
What are the important dates for this form in 2024 and 2025?
The SSA-787 form can be needed at any time during the year, especially when an evaluation of benefits management capability is required. Always check for any updates in filing procedures from the Social Security Administration. Ensure you keep abreast of changes that might affect the submission timeline.

What is the purpose of this form?
The purpose of the SSA-787 form is to assess an individual's capability to manage their Social Security benefits effectively. This evaluation is critical for determining whether someone requires the assistance of a representative payee, thereby ensuring their basic needs are met. By completing this form accurately, medical sources provide essential insight that aids the Social Security Administration in making informed decisions regarding benefit management.

Tell me about this form and its components and fields line-by-line.

- 1. Identifying Information: Includes patient name, social security number, and contact details.
- 2. Medical Source Information: Details about the medical source providing the assessment.
- 3. Assessment Questions: Questions regarding the patient's understanding and management of funds.
- 4. Signature Section: Space for the medical source to sign and date the form.
What happens if I fail to submit this form?
If the SSA-787 form is not submitted, it can lead to delays in determining the patient's need for a representative payee. This in turn may affect timely benefit payments by the Social Security Administration.
- Delays in Benefit Payments: Failure to assess capability can delay payments until a determination is made.
- Unmet Basic Needs: Without timely intervention, patients may struggle to meet their basic financial needs.
How do I know when to use this form?

- 1. New Patient Evaluations: Use this form during evaluations for new patients applying for benefits.
- 2. Periodic Reevaluations: Necessary for ongoing assessments of patients already receiving benefits.
Frequently Asked Questions
What is the purpose of the SSA-787 form?
The SSA-787 form evaluates a patient's ability to manage Social Security benefits and determine the need for a representative payee.
Who should fill out the SSA-787 form?
The form should be filled out by a qualified medical source who knows the patient well.
How do I download the SSA-787 form?
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Can I edit the SSA-787 form online?
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No, PrintFriendly provides free access to edit and download PDFs.
What if I make a mistake on the SSA-787 form?
You can easily edit any mistakes using the tools provided on PrintFriendly.
How do I return the filled SSA-787 form?
Send the completed form back to the Social Security Administration in the provided envelope.
Can I share the SSA-787 form with others?
Yes, you can share the PDF with others via email or direct link.
What happens if the SSA-787 form is not submitted?
Failure to submit the form may lead to delays in benefit payments.
When do I need to submit the SSA-787 form?
Submit the form as soon as possible after the patient's evaluation is complete.
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