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<title>Form SSA-1372-BK | School Officials | SSA</title>
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<h2 class="fw4 ma0">For School Officials</h2>
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<li><a href="https://www.ssa.gov">SSA Home</a></li>
<li><a href="index.htm">School Officials</a></li>
<li aria-current="page">Form SSA-1372-BK</li>
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<article class="cell w-100 m-w-20">
<p class="js-toggle navigation_class"><a href="index.htm">School Officials Home Page</a></p>
<p class="js-toggle navigation_class"><a href="process_works.htm">How the Process Works</a></p>
<p class="js-toggle navigation_class"><a href="ssa-1372-BK.htm">Form SSA-1372-BK</a></p>
<p class="js-toggle navigation_class"><a href="faqs_school.htm">FAQs - School Officials</a></p>
<p class="js-toggle navigation_class"><a href="faqs_students.htm">FAQs - Students</a></p>
<p class="js-toggle navigation_class"><a href="https://secure.ssa.gov/apps6z/FOLO/fo001.jsp">Field Office Locator</a></p>
<p class="js-toggle navigation_class"><a href="https://www.ssa.gov/onlineservices/">Top 10 Services</a></p>
<p class="js-toggle navigation_class"><a href="http://ssa.gov/pgm/other.html">Other Sites</a></p>
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<article class="cell w-100 m-w-80">
<h3>Form SSA-1372-BK</h3>
<p><img src="images/ssa-1372_logo.jpg" width="298" height="98" alt="Picture of 2 People handling form SSA-1372-BK"></p>
<p id="text"><b><font face="Verdana, Arial, Helvetica, sans-serif" size="-1"></font></b>This
form has to be viewed and/or downloaded in <img src="images/pdficon1.gif" width="33" height="36" alt="Portable Document Format Graphic">.pdf
format. You may download it from <a class="disclaimer" href="http://www.adobe.com/products/acrobat/readstep2_allversions.html">Adobe</a>.</p>
<p>All 8 pages of form <a href="https://www.ssa.gov/forms/ssa-1372.pdf">SSA-1372-BK</a>
are available for viewing/downloading. Pages 1, 7 and 8 are provided as
informational for school officials. <b>Pages 2, 3, 4, 5, and 6 directly concern
school officials</b>. Below are descriptions of each of the pages:</p>
<p> <img src="images/process_works.jpg" width="169" height="108" alt="Group of People Discussing How the Process Works">
<h3 align="center">Steps to Student Benefits</h3></p>
<!--ACCORDIAN WIDGETS-->
<div class="js-toggle bn">
<a class="js-toggle-link
bg-ocean-blue-500 hover-teal white" href="#!">SSA-1372-BK, page 1</a>
<section class="js-toggle-content">
<p>Page 1 informs the child that their benefits will stop at age 18 unless they qualify for childhood disability benefits or they are a full-time student at an elementary or secondary school. It also states what the child should do to receive student or childhood disability benefits.
</p>
</section>
</div>
<div class="js-toggle bn">
<a class="js-toggle-link
bg-ocean-blue-500 hover-teal white" href="#!">SSA-1372-BK, pages 2 and 3
</a>
<section class="js-toggle-content">
<p>Pages 2 and 3 consist of the student's information about current and prior school attendance and an expected graduation date, and it elicits information about other factors that may affect the payment of benefits. When a student completes pages 2 and 3 they should give them to a school official for review.</p>
</section>
</div>
<div class="js-toggle bn">
<a class="js-toggle-link
bg-ocean-blue-500 hover-teal white" href="#!">SSA-1372-BK, page 4</a>
<section class="js-toggle-content">
<p>Page 4 is the school official's certification of the student's information about their school attendance. The school official should:</p>
<ul>
<li>Review the information the student provided on pages 2 and 3; </li>
<li>Answer the questions on page 4; </li>
<li>Sign and date page 4, furnishing the school official's title and phone number with area code; </li>
<li>Annotate page 5 with the student's expected graduation date; </li>
<li>Keep pages 5 and 6; and </li>
<li>Return the rest of the form to the student.</li>
</ul>
</section>
</div>
<div class="js-toggle bn">
<a class="js-toggle-link
bg-ocean-blue-500 hover-teal white" href="#!">SSA-1372-BK, page 5</a>
<section class="js-toggle-content">
<p>The school official should detach and retain this page. They should keep page 5 for the purpose of reporting that a student is no longer in full-time attendance. If the student does not leave page 5, the school official should download it from this site.</p>
<p><strong>NOTE:</strong> If the student leaves page 5 with the school, the form should have the address of the student's local Social Security office printed on it. If that information is missing, or if the school official downloads page 5 from this site, the school official can obtain the address of the student's <a href="https://secure.ssa.gov/apps6z/FOLO/fo001.jsp">local Social Security office</a>. The school official should input the student's zip code.</p>
</section>
</div>
<div class="js-toggle bn">
<a class="js-toggle-link
bg-ocean-blue-500 hover-teal white" href="#!">SSA-1372-BK, page 6
</a>
<section class="js-toggle-content">
<p>Page 6 consists of a Privacy Act/Paperwork Reduction Act notice and a Paperwork Reduction Act statement for school officials.
</p>
</section>
</div>
<div class="js-toggle bn">
<a class="js-toggle-link
bg-ocean-blue-500 hover-teal white" href="#!">SSA-1372-BK, page 7</a>
<section class="js-toggle-content">
<p>Page 7 provides information to the student about benefits past age 18, benefits past age 19, and events the student must report to SSA.
</p>
</section>
</div>
<div class="js-toggle bn">
<a class="js-toggle-link
bg-ocean-blue-500 hover-teal white" href="#!">SSA-1372-BK, page 8</a>
<section class="js-toggle-content">
<p>Page 8 consists of a Privacy Act/Paperwork Reduction Act notice and a Paperwork Reduction Act statement for students.</p>
</section>
</div>
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