TN 2 (07-13)
SI 00605.040 Completing Part 9 Signatures of the Application for Supplemental Security Income (SSA-8001-BK)
A. Procedure for explaining question 35 penalty of perjury statement
Explain to the claimant the penalty for providing false information before he or she signs the application.
B. Procedure for completing questions 36 and 37
Follow the procedure below when completing questions 36 through 37 on the SSA-8001-BK.
1. Questions 36 and 37 Signatures
Complete these questions following instructions in SI 00604.111.
2. Question 38 Witnesses
Complete if the claimant signed by marking “X.” For policy and procedures for the use of alternative signatures, see GN 00205.115B.c.