Do not use the MCS version of Form SSA-2490-BK when the applicant is filing for the
following:
-
•
Icelandic benefits only; or
-
•
U.S. or Icelandic survivor benefits.
Use a paper or electronic Form SSA-2490-BK for Totalization survivor claims or claims
for benefits only from Iceland.
For instructions on how to complete the SSA-2490-BK, see GN 01702.110.
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.