Effective Dates: 06/26/2026 - Present Previous | Next

TN 77 (06-26)

SI 00604.111 Signature: Item 63 and 65

A. When to complete items 63 and 65

A signature and date are required for all claimants. For alternative signature methods, see GN 00201.015.

B. Claimant with ineligible spouse

The ineligible spouse should not sign the application because a spouse's signature constitutes an application for payments.

C. In-person interview

1. Pen-and-ink signature

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    Claimant files: Ask the claimant to sign in the Sign Here block and enter the date.

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    If a couple is filing, ask the claimant identified in 1(a) to sign in the "Sign Here" block.

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    Ask the spouse to sign the "Spouse's Signature" block if they are applying for payment and are present at the interview.

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    Enter the date the claimant signs the application if the claimant is completing the application for a couple.

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    If the spouse applying for payment is not present at the interview, see SI 00604.010E.1 in this section.

D. Teleclaim

1. Pen-and-ink signature

If we take an SSA-8000-BK (Application for Supplemental Security Income) during a telephone interview and the proper applicant or claimant prefer to sign with pen-and-ink, mail the application to the claimant for signature. Refer to GN 00201.015C.

E. Applicant filing on behalf of a claimant

Apply the Proper Applicant rules in SI 00601.012 and have the appropriate person sign the application.

NOTE: Enter a telephone number where we may reach the applicant during the day. If the claimant, spouse or applicant have different telephone numbers, enter the respective numbers in "Remarks".

F. References

  • •

    GN 00204.001C Policy: Requirements (Valid Application)

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    GN 00201.015 Alternative Signature Methods

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    MS 08122.004 Development Worksheet

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0500604111
SI 00604.111 - Signature: Item 63 and 65 - 06/26/2026
Batch run: 06/26/2026
Rev:06/26/2026