Record information obtained from the individual(s) signing the form.

Use other forms to record reports from other persons and sources, deeming computations, or verifying information from other sources.

Do not add such information to a completed SSA-8010-BK.

Destroy the paper form after entering the data into the SSI Claims system and upload the form into the electronic folder.

If the form cannot be entered into the SSI Claims system, save the paper copy until the paper claim or the post eligibility file is destroyed.

Enter responses by the individual making the statement under the column labeled You and information about the spouse under Your Spouse.

Do not use one SSA-8010-BK to combine income and resources information for people who do not have a marital relationship as defined in SI 00501.150C.

Ask the individual to initial or sign any change in an answer. For the procedure if the individual cannot write see GN 00205.015.

NOTE: Do not change answers once the individual has signed the SSA-8010-BK. Take a statement on another signed form (e.g., an SSA-795) explaining the change.

Enter actual stated amounts in dollars and cents; do not round them.

Enter “unknown” and begin appropriate development when the individual does not know the answer to a question.