TN 1 (10-99)

RM 01352.001 Volume Requests for Blank Forms SSA-7004PC

A. Procedure – Request for more than 500

Requests for more than 500 Blank Forms SSA-7004SM-OP1 (Request for Earnings Statement - Wilkes-Barre) are housed at the Supply Building at the following address:

  • Social Security Administration
    Office of Supply and Warehouse management
    227 Supply Building
    6401 Security Boulevard
    Baltimore, Md. 21235-6301
    Telephone : 410-965-2039
    FAX:: 410-965-2001

1. Faxing Request

FAX all requests for more than 500 Blank Forms SSA-7004-SM-OP1 . Use FAX NUMBER: 410-965-2001 to Place orders.

2. Information Needed For Faxing

The information needed with each FAXED request is:

  • The requester's name and telephone number.

  • The complete mailing address to which the forms are to be mailed (no P.O. box numbers; a street address is required for shipment). If the shipment needs to be sent to a specific person's attention, this should be included with the address.

  • The number of Forms SSA-7004-SM-OP1's being requested.

  • Indicate whether the requester wants the English or Spanish version.

B. Procedure – Request for less than 500

If requests for less than 500 Blank Forms SSA-7004-SM-OP1 take the following actions:

  • Supply the requester with the number of Forms SSA-7004-SM-OP1 requested.

  • If the requester does not specify an amount to be furnished, furnish 25 blank Forms SSA-7004-SM-OP1.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0101352001
RM 01352.001 - Volume Requests for Blank Forms SSA-7004PC - 01/22/2013
Batch run: 01/22/2013
Rev:01/22/2013