The MCS version of the SSA-2490-BK may not be used to file for:
U.S. or Polish survivor’s benefits.
A paper or electronic (e-form) SSA-2490 application form must be used in these cases.
Form SSA-2490-BK is also available through the Totalization Benefits Resource Kit
on the Intranet at http://ocoweb.ba.ssa.gov/oio/Totalization/TotResKit.asp .
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.