APPENDIX 6

Checklist of Important Documents and Information for Application

_________ Proof of your age1

_________ Proof of spouse’s age

_________ Certified copy of your marriage certificate (if applying for spouse retirement or life insurance)

_________ Copy of your latest income tax withholding statement (Form W-2), or federal income tax returns if self-employed

_________ Tax return of deceased child if you are applying as dependent parent

_________ Your checkbook or savings passbook if you want to have your benefits deposited directly into your account

_________ Certified copy of birth certificate of each child for whom a benefit is sought

_________ Certified copy of adoption order (if a child is adopted)

_________ Death certificate of worker who dies

_________ Receipt for funeral bill if someone other than a spouse claims lump-sum life insurance payment

_________ Divorce papers (where applicable)

_________ Military discharge papers

_________ Your Social Security number (or card)

_________ Your spouse’s Social Security number (or card)

_________ Social Security numbers (or cards) for anyone else for whom a claim is being filed

_________ An estimate of your expected earnings for this current year

_________ Dates of any railroad employment of you or your spouse

_________ Names and addresses of school, and dates of schooling, for any child who is between the ages 18 and 22 and eligible for benefits