Do not use the MCS version of Form SSA-2490-BK when the applicant is filing for:
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•
Italian benefits only; or
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•
U.S. or Italian survivor's benefits.
Use the paper or electronic Form SSA-2490-BK for Totalization survivor claims. For
instructions on how to complete the SSA-2490-BK, see GN 01702.110.
NOTE: If there is an existing U.S. Totalization life claim award, do not take an SSA-2490-BK
in claims for U.S. auxiliary benefits or survivor claims. This is not required because
an SSA-2490-BK was previously completed in connection with the NH's claim.