Many Social Security Administration forms require a good deal of personal information from the applicant, including first and last name, street address, city of residence, and the applicant's Social Security number. All forms contain completion instructions. Additional information available in SSA forms depends on the particular form in question.
A few Social Security Administration forms include the Request for Hearing by Administrative Law Judge, Form HA-501; Application for Enrollment in Medicare - Part B (Medical Insurance); and the Request for Employment Information forms. The Request for Hearing by Administrative Law Judge, Form HA-501, requires an applicant to provide his name and Social Security number and to state whether or not he has any evidence to back up the complaint in question. The form notes the rights of the claimant and leaves the rest of the form to be completed by the SSA.
The Application for Enrollment in Medicare - Part B (Medical Insurance) form details the steps the applicant goes through to complete the form and additional steps to be taken after completion. In addition to the section filled out by the applicant, there is another component requiring completion by a designated witness.
The Request for Employment Information form, CMS-L564E, requests information regarding group health coverage for Medicare applicants to use during Medicare’s special enrollment period.