The SSA-2490-BK is available through MCS, but the MCS version may only be used when
the NH is filing for
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•
U.S. retirement or disability Totalization benefits alone, or
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•
U.S. retirement or disability benefits (regular or Totalization) and concurrently
for Dutch benefits.
The MCS version of the SSA-2490 may not be used to file for
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U.S. or Dutch survivors benefits.
A paper SSA-2490-BK application form must be used in the latter cases.
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.