To submit the SSA-4178 form, complete all required fields and ensure accuracy. Mail the form to SSA, 6401 Security Blvd, Baltimore, MD, 21235-6401. Alternatively, you can fax it to the number provided by your local SSA office or use SSA's online submission form on their official website. Ensure all sections are filled accurately to avoid delays in processing.

There are no specific dates mentioned for 2024 and 2025. Ensure timely submission to avoid delays in SSI benefit determination.

The purpose of the SSA-4178 form is to gather detailed information about an individual's marital relationship as part of the qualification process for Supplemental Security Income (SSI) benefits. The information provided helps the Social Security Administration (SSA) determine the nature of the relationship and establish eligibility for benefits. It includes questions regarding joint ownership of property, shared responsibilities, and other relevant details. Completing this form accurately is critical to ensure that the SSA has all the necessary information to make an informed decision about your benefits. The form requires detailed responses to questions about how the couple is known socially, whether there are shared financial responsibilities, and other pertinent information that reflects the nature of the relationship. It is important to fill out the form truthfully and comprehensively, as providing false information can lead to penalties, including fines or imprisonment. By submitting this form, you help the SSA determine whether you meet the eligibility criteria for SSI benefits, which can provide vital financial support.

• 1. Claimant's Name: The full legal name of the individual applying for SSI benefits.
• 2. Social Security Number: The claimant's Social Security Number for identification purposes.
• 3. Name of Person Making Statement: If the statement is being made by someone other than the claimant, their name should be entered here.
• 4. Questions 1-5: These questions gather information about how the claimant and their partner are known socially, how mail and bills are addressed, and their living arrangements.
• 5. Further Explanation of Relationship: An optional section for providing additional details about the relationship.
• 6. Signature: The claimant's signature under penalty of perjury, confirming the accuracy of the provided information.
• 7. Date: The date the form is signed.
• 8. Telephone Number: The claimant's contact telephone number.
• 9. Mailing Address: The claimant's mailing address for correspondence.
• 10. Witnesses' Signatures and Addresses: Required if the form is signed by mark (X), including signatures and addresses of two witnesses who know the applicant.

Failing to submit the SSA-4178 form may delay the determination of your SSI benefits. Providing false or incomplete information can have serious consequences. Here are the concerns:

• Delayed Benefit Determination: Failure to submit the form on time can result in delays in processing your SSI benefits application.
• Penalties for False Information: Knowingly providing false information can lead to fines or imprisonment.

• 1. Applying for SSI Benefits: To provide information about your marital relationship for initial SSI benefits application.
• 2. Updating Marital Status: To update the Social Security Administration about changes in your marital relationship.