Complete the “Certification of Data” part of the SSA-2960 USA-GR3 only when transmitting
a claim for Greek benefits, for specific information in response to the Greek agencies.
If the requested information is not available, indicate “unknown.” If you know the
requested information, but our records cannot verify the information, enter the information,
and do not check the “Verified” block.
Place a “?” in the verified block(s) if SSA used the data to adjudicate claims.
NOTE: Only OIO verifies these blocks.
a. Date of birth and name
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Enter the names of all claimants and in survivor cases, the name of the deceased worker.
Enter the first and last names; and
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Enter the date of birth for all claimants and for the deceased worker, if applicable.
b. Number holder’s date of death
Enter the deceased worker’s date of death in survivor claims. Check the “Verified”
block if we used the date of death to award U.S. benefits, or the MBR has a proof
code for the date of death.
Enter the date of marriage if a spouse or widow(er) claims benefits. Check the “Verified”
block if we used the date of marriage to award U.S. benefits or the MBR has a proof
code for the date of marriage.
Enter the date of divorce if a divorced spouse or widow(er) claims benefits. Check
the “Verified” block if we used the date of divorce to award U.S. benefits or the
MBR has a proof code for the date of the divorce.
Enter the number holder’s work ending date.
Enter the number holder’s place of birth.
Enter the country of citizenship of the worker. Check the “Verified” block if we used
the data to award U.S. benefits or the MBR has a proof code for the worker’s citizenship.