Do not use the MCS version of the SSA-2490-BK when the applicant is filing for:
U.S. or Slovak survivor’s benefits.
NOTE: Use a paper or electronic (eform) SSA-2490-BK application form for Totalization
For instructions on how to complete the SSA-2490-BK, see GN
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.