CHANGES TO BE REPORTED AND HOW TO REPORT
FAILURE TO REPORT MAY RESULT IN OVERPAYMENTS THAT MUST BE REPAID
AND IN POSSIBLE MONETARY PENALTIES
• You or any child changes mailing address for checks or
residence. To avoid delay in receipt of checks, you
should ALSO file a regular change of address notice
with your post office.
• Any child's citizenship or immigration status changes.
• Any beneficiary goes outside the U.S.A. for 30
consecutive days or longer.
• Any beneficiary dies or becomes unable to
handle benefits.
• Work changes - On your application you told us
and rendering substantial services in a trade or business.
(Report AT ONCE if this work pattern changes.)
• Custody Change - Report if a child for whom you are
filing or who is in your care dies, leaves your care or
custody, or changes address.
• The child age 13 or older has an unsatisfied felony or arrest
warrant for more than 30 continuous days for flight to avoid
prosecution or confinement, escape from custody, or flight-
escape.
• A student, age 18 or over, stops attending school,
reduces school attendance below full-time, changes
schools, or is paid by an employer to attend school.
• If the worker and stepchild's parent divorce. Benefits
are not payable to a stepchild beginning with the
month after the month the worker and the
stepchild's parent divorce. Promptly return any
benefit payment received on behalf of the stepchild
for the months after the month the divorce
becomes final.
• The child is confined for more than 30 continuous
days to a jail, prison, penal institution or correctional
facility for conviction of a crime or confined to a
public institution by a court order in connection with
a crime.
• Change in Marital Status - Marriage, divorce, or
annulment of marriage. You must report marriage
even if you believe that an exception applies.
• Disability Applicants - In addition to the applicable
reporting requirements listed above:
1. The disabled adult child returns to work (as an
employee or self-employed) regardless of
amount of earnings.
2. The disabled adult child's condition improves.
An agency in your State that works with us in administering
the Social Security disability program is responsible for
making the disability decision on the child's claim. In some
cases, it is necessary for them to get additional information
about the child's condition or to arrange for the child to have
a medical examination at Government expense.
HOW TO REPORT
You can make your reports by telephone, mail, or in person, whichever you prefer.
If you are awarded benefits and one or more of the above change(s) occur, you should report by:
• Visiting the section "My Social Security" at our web site at www.socialsecurity.gov;
• Calling us TOLL FREE at 1-800-772-1213;
• If you are deaf or hearing impaired, calling us TOLL FREE at TTY 1-800-325-0778; or
• Calling, visiting, or writing your local Social Security office at the phone number and address shown on your claim receipt.
For general information about Social Security, visit our web site at www.socialsecurity.gov.
For those under full retirement age, the law requires that a report of earnings be filed with SSA within 3 months and 15 days after
the end of any taxable year in which the child earns more than the annual exempt amount. You may contact SSA to file a report
for the child. Otherwise, SSA will use the earnings reported by the child's employer(s) and the child's self-employment tax return
(if applicable) as the report of earnings required by law, to adjust benefits under the earnings test. It is your responsibility to
ensure that the information you give concerning the child's earnings is correct.
Form SSA-4-BK (04-2020) UF
(Name of Child)
expected total earnings
for
(Year)
to be $
.
(Name of Child)
(is) (is not) earning
wages of more than $ a month.
(Name of Child)
(is) (is not) self-employed
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