TN 21 (09-19)

RS 00205.743 Form SSA-1372-BK-FC, Student's Statement Regarding School Attendance Outside the United States

A. Purpose of Form SSA-1372-BK-FC

The SSA-1372-BK-FC serves as the primary form for developing and verifying a student's full-time attendance at an educational institution outside the United States.

We send an SSA-1372-BK-FC to each child beneficiary who is outside the United States 3 months before he or she attains age 18. It explains the conditions under which benefits can continue after age 18, and what he or she must do to pursue his or her claim for benefits as a student or disabled child. We give the student this form at the time of the application for child's benefits if the child:

  • meets the requirements for child's benefits; and

  • is at least age 17 years and 6 months (or will be at least that age when the claim is processed).

B. Student's Responsibilities

It is the student's responsibility to:

  • complete the Student’s Statement Regarding School Attendance portion of Form SSA-1372-BK-FC.

  • have a school official complete the Certification By School Official portion of page 4 of the form; and

  • give the Notice of Cessation of Full-Time School Attendance (page 5 of the form) to a school official for return to SSA if the student ceases to be in full-time attendance.

We consider failure to submit a completed SSA-1372-BK-FC, or its equivalent, failure to establish full-time attendance at an educational institution.

C. Description of the SSA-1372-BK-FC

The SSA-1372-BK-FC is an 8-page form consisting of:

1. Page 1 - Advance Notice of Termination of Child's Benefits

This explains the conditions under which we can pay benefits after the child beneficiary reaches age 18. It contains essentially the same information as the Form SSA-1387-FC-EP (Advance Notice of Termination of Child's Benefits) that we send to the child's representative payee at the same time we send the SSA-1372-BK-FC to the child beneficiary. It also provides instructions for completing the form.

2. Pages 2 and 3 - Student's Statement Regarding School Attendance

These pages ask for information from the student about his or her school attendance and eligibility for benefits.

3. Page 4 - Certification by School Official

An official of the school the student is attending completes this certification to confirm the information provided on the student's statement.

4. Page 5 - Notice of Cessation of Full-Time Attendance

The student gives this page to the school official. The instructions on this page request the school official to complete the form when the student ceases to be in full-time attendance. If the student ceases to be in full-time attendance, we request that the school official check the appropriate items on the form to show the date and reason the student's full-time attendance ceased, and send the completed form to SSA.

5. Page 6 - Privacy Act/Paperwork Reduction Act Notice

This information is for the school official and relates to completion of notice of cessation of full-time attendance.

6. Page 7 - Information About Benefits Past Age 18

This page contains important information for the student about the payment of benefits after age 18, and his or her reporting responsibilities.

7. Page 8 - Privacy Act/Paperwork Reduction Act Notice

This information relates to the student claim and related form.

D. Exhibit - Form SSA-1372-BK-FC

To view the form, go to :SSA-1372-BK-FC


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0300205743
RS 00205.743 - Form SSA-1372-BK-FC, Student's Statement Regarding School Attendance Outside the United States - 09/06/2019
Batch run: 09/06/2019
Rev:09/06/2019