We have a written request for Social Security benefits for (1) , but (2) did not file an application for Social Security benefits before (3) death. Before we can decide whether or not we can make any payment for the months before (4) death, an application must be filed.

 

What To Do Next

3740A

 

What Will Happen

3740B

 

If You Have Any Questions

3763A

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  If a prescribed application form is not filed within 30 days after receipt of the notice of death, the 6-month notice will be mailed to the survivor shown on Form SSA-721. Where no application is filed and the identity of such survivor is unknown, mail the 6-month notice to the deceased's last known address. Rather than use the deceased's name by itself in the address, refer to the estate (e.g., The Estate of John Doe). Show all information for this notice on SSA-573.

   

Fill-ins:

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  Refer to NL 00703.740 for 3740A and 3740B text and fill-ins.

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  Refer to NL 00703.763 for 3763A text and fill-ins.

FO's will use FO letterhead. Follow notice standards.