Blake Memorial Library Events & More

In order to Support You we will have copies of the following Social Security Administration Forms and Resources here at the library.

Please stop by to pick up or call to request copies. You may also click the hyperlinks on the list below to access many of these materials from home.

Publications:

Forms

  • Application for a Social Security Card SS-5
  • Application for Enrollment in Medicare Part B (Medical Insurance) CMS-40B
  • Request for Employment Information CMS-L564
  • Voluntary Withholding Request W-4V
  • Authorization to Disclose Information to the Social Security Administration (SSA) SSA-827
  • Supply of orange postage-paid envelopes
  • Supply of blue cards to jot down mySocialSecurity user name/password
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