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- Application for benefits under a US International Social Security Agreement
Provide the following information about the worker's social security credits (coverage) and last place of residence in the foreign country Use columns (1) - (5) to enter information about the worker's periods of employment or self-employment in the foreign country
- SSA - POMS: GN 01702. 110 - Application for Benefits Under a U. S . . .
Take the SSA-2490 on the modernized claims system (MCS) if the number holder (NH) is filing for both U S (regular or Totalization) and foreign life benefits The SSA-2490 is not available on MCS when the applicant is filing for foreign benefits only or for survivor benefits (either U S or foreign)
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- SSA - POMS: GN 01739. 215 - Application for Benefits under the Agreement . . .
An applicant filing for benefits must complete Form SSA-2490-BK (Application for Benefits under a U S International Social Security Agreement) The applicant must complete this form whether the application is for benefits from the United States only, Chile only, or from both countries
- International Agreements | International Programs | SSA
Complete SSA-2490-BK (Application for Benefits Under a U S International Social Security Agreement) and mail to your local Social Security Administration office
- FSF2490 - TreasuryDirect
The collection of the information you are requested to provide on this form is authorized by 31 U S C CH 31 relating to the public debt of the United States The furnishing of a Social Security Number, if requested, is also required by Section 6109 of the Internal Revenue Code (26 U S C 6109)
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- Form SSA-2490-BK Application for Benefits Under a U. S. International . . .
benefits under the provisions of the international social security agreement Complete Part 1 in all cases 1 (a) Print name of worker (First name, middle initial, last name) 2 Provide the following information about the worker's social security credits (coverage) and last place of residence in the foreign country in the foreign country
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