In addition to the Form SSA-2490-F4, an applicant for German benefits must complete
a special German application form. The form(s) to be completed vary depending on the
type of benefit claimed. The D/USA 1 is used in life cases to claim retirement or
disability benefits. The D/USA 2 is used to claim survivors benefits. The D/USA ZA
is used by individuals who wish to claim German benefits (life or death) and who,
at the same time, also wish to apply to make special voluntary contributions to Germany
under the provisions of the second supplementary agreement (see GN 01707.136).
Note: Germany does not automatically convert life benefits to survivor benefits upon the
death of the worker. Therefore, an application for survivor benefits must be filed
even when the claimant was receiving life benefits on the record of the deceased worker.