Supplemental Security Income Claim Information Notice

SSA uses Form SSA-–L8050-–U3 to collect information on whether an SSI recipient is using all sources of potential income (annuities, pensions, disability benefits, veteran's compensation, etc.) for their own support. SSI supplements other income an individual has available. SSA mails Form SSA-L8050-U3 to applicants or recipients when they apply for benefits. Respondents are SSI applicants or recipients who may be eligible for benefits from other public or private programs.

The latest form for Supplemental Security Income Claim Information Notice expires 2021-02-28 and can be found here.