The SSA-2490-BK is available through MCS, but the MCS version may only be used when
the number holder (NH) is filing for:
U.S. retirement or disability Totalization benefits only, or
U.S. retirement or disability benefits (regular or Totalization) and concurrently
for Australian benefits.
The MCS version of the SSA-2490-BK may not be used to file for:
Australian benefits only, or
U.S. or Australian survivors benefits.
A paper or electronic (e-form) SSA-2490-BK application form must be used in the latter
Note: It is not necessary to take an SSA-2490-BK in claims for U.S. auxiliary benefits
in life cases or in survivor cases where there was a previously approved award in
a life case since this application would have been completed previously in connection
with the NH's claim.