Do not use the MCS version of the SSA-2490-BK when the applicant is filing for:
-
•
Portuguese benefits only; or
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•
U.S. or Portuguese survivors benefits.
You must use a paper or electronic (e-form) Form SSA-2490-BK for Totalization survivor
claims. Form SSA-2490-BK is also available through the Totalization Benefits Resource
Kit. For instructions on how to complete the SSA-2490-BK, see GN 01702.110.
NOTE: It is not necessary to take a Form 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.