Form SSA-827, Authorization to Disclose Information to the Social Security Administration

What is SSA-827?

It is a simple one-page form you can use to give your authorization to disclose information to the Social Security Administration. This permission is used by the SSA and other government agencies to determine the applicant's disability and benefits entitlement.

What do I need the SSA 827 Form for?

• Any of your medical, dental, and insurance information is protected by law and is not subject to disclosure unless you have given your permission.
• Use the printable SSA-827 Form to authorize SSA and other services to request information about your condition to determine if you are able to manage your benefits.
• Without this permission, public services will not be able to obtain the required information and might refuse to pay you. 

How to Fill Out the Social Security Form SSA 827?

1. Read the terms and conditions for handling your data, the list of info that is subject to disclosure, and which persons can access it.
2. If you agree with all points, complete the SSA-827 Form PDF. Write your full name, SSN, and date of birth at the top of the document.
3. If the form is filled out by an authorized person, such as a parent or guardian, please check the appropriate box and provide the details of the filler.
4. Enter the date and place of filling out the document and put your signature. The witness (-s) should also enter their name and put their signature.
5. Download SSA 827 Form when you are ready to print it out and mail it or bring it to the SSA office.

Organizations that work with Form SSA 827 Online

• SSA