Form Details


SSA will use the information collected on Form SSA-1414 to process payments from former employees and vendors who have outstanding debts owed to the agency. This form has been developed as a convenient method for respondents to satisfy such debts. The respondents are former employees and vendors who have debts still owed to the agency.
Form #: SSA 1414
Agency: Social Security Administration
Type: Form Only
Capability: [1] Paper Only
Format: paper
Pages: 1
What's Needed: Other Client Software