POMS Reference

Table of contents Recent changes
Contact
Back
This change was made on Oct 31, 2017. See latest version.
Text removed
Text added

RS 00205.735: Form SSA-1372 BK

changes
← * →
  • Effective Dates: 12/31/2013 - Present
  • Effective Dates: 10/31/2017 - Present
  • TN 15 (01-03)
  • RS 00205.735 Form SSA-1372 BK
  • A. Introduction
  • The SSA-1372-BK serves as the primary form for developing a student's FTA at an EI and for verifying the student's continuing FTA. An SSA-1372-BK is sent to each child beneficiary 3 months before he or she attains age 18. It explains the conditions under which benefits can continue after age 18 and what he or she must do to pursue his or her claim for benefits as a student or disabled child. In initial claims, it is given to the student at the time the application for child's benefits is completed if the child:
  • * meets the requirements for child's benefits; and
  • * is at least age 17 years and 6 months (or will be at least that age when the claim is processed), it is given to the student at the time the application for child's benefits is processed.
  • B. Policy
  • It is the student's responsibility to:
  • * complete the Student’s Statement Regarding School Attendance portion of Form SSA-1372-BK; or if attending school outside of the United States, complete Form SSA-1372-BK-FC.
  • * complete the Student’s Statement Regarding School Attendance portion of Form SSA-1372-BK; or if attending school outside of the United States, complete Form SSA-1372-BK-FC.
  • * have a school official complete the Certification By School Official portion of page 3 of the form; and
  • * give the Notice of Cessation of Full-Time School Attendance (page 4 of the form) to a school official for return to SSA, VARO or an FSP if the student ceases to be in FTA.
  • * give the Notice of Cessation of Full-Time School Attendance (page 4 of the form) to a school official for return to SSA if the student ceases to be in FTA.
  • Failure to submit a completed SSA-1372-BK, or its equivalent, is considered failure to establish FTA at an EI.
  • C. Description of the SSA-1372-BK
  • The SSA-1372-BK is a 7-page form consisting of:
  • 1. Page 1 - Advance Notice of Termination of Child's Benefits
  • This explains the conditions under which benefits can be paid after the child beneficiary reaches age 18. It contains essentially the same information as the Form SSA-1387-FC-EP (Advance Notice of Termination of Child's Benefits) that is sent to the child's representative payee at the same time that the SSA-1372-BK is sent to the child beneficiary. It also provides instructions on completion of the form.
  • 2. Pages 2 and 3 - Student's Statement Regarding School Attendance outside the United States
  • 2. Pages 2 and 3 - Student's Statement Regarding School Attendance
  • This portion of these pages asks for information from the student about his or her school attendance and his or her eligibility for benefits.
  • 3. Page 3 - Certification by School Official
  • This certification is to be completed by an official of the school the student is attending, to confirm the information provided on the student's statement.
  • 4. Page 4 - Notice of Cessation of Full-Time Attendance
  • The student gives this page to the school official. The instructions on this page request the school official to complete the form when the student ceases to be in FTA. The school official is to check the appropriate items on the form to show the date and reason the student's FTA ceased. The school is requested to send the completed form to SSA, the nearest U.S. Embassy or consulate or VARO in Manila.
  • The student gives this page to the school official. The instructions on this page request the school official to complete the form when the student ceases to be in FTA. The school official is to check the appropriate items on the form to show the date and reason the student's FTA ceased. The school is requested to send the completed form to SSA.
  • 5. Page 5 - Privacy Act/Paperwork Reduction Act Notice
  • This information is for the school official and relates to completion of notice of cessation of FTA.
  • 6. Page 6 - Information About Benefits Past Age 18
  • This page contains important information for the student about the payment of benefits after age 18 and his or her reporting responsibilities.
  • 7. Page 7 - Privacy Act/Paperwork Reduction Act Notice
  • This information relates to the student claim and related form.
  • D. Exhibit - Form SSA-1372-BK
  • To view the form, go to SSA-1372–BK.
The materials available at this web site are provided free of charge, for informational purposes only, and without warrant by True Link Financial, Inc., and are not legal advice or Social Security benefits advice. You should contact your attorney to obtain advice with respect to any particular issue or problem, or the Social Security Administration with any general inquiries. Click here to view this section of the POMS on the Social Security Administration website.