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<h2 class="fw4 ma0">Form SSA-1724 | Claim For Amounts Due In The Case Of Deceased Beneficiary</h2>
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<p>A deceased beneficiary may have been due a Social Security payment and/or a Medicare Premium refund prior to or at the time of death. </p>
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<p>A Social Security payment due a deceased beneficiary may be paid to a family member or a legal representative of the estate in the following order:</p>
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<ol>
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<li>The surviving spouse who was either living in the same household as the deceased at the time of death or who, for the month of death, was entitled to a monthly benefit on the same record as the deceased;</li>
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<li>Children who, for the month of death, were entitled to a monthly benefit on the same record as the deceased;</li>
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<li>Parents who, for the month of death, were entitled to a monthly benefit on the same record as the deceased;</li>
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<li>A surviving spouse not qualified under 1. above;</li>
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<li>Children not qualified under 2. above;</li>
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<li>Parents not qualified under 3. above; or</li>
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<li>The legal representative of the deceased person's estate.</li>
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</ol>
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<p>A Medicare Premium refund may be issued to the person or organization that paid the beneficiary's premiums. If the beneficiary paid the premiums, refunds may be issued to a family member or the legal representative of the estate in the following order:</p>
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<ol>
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<li>The legal representative of the deceased person's estate.</li>
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<li>The surviving spouse who was either living in the same household as the deceased at the time of death or who, for the month of death, was entitled to a monthly benefit on the same record as the deceased;</li>
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<li>Children who, for the month of death, were entitled to a monthly benefit on the same record as the deceased;</li>
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<li>Parents who, for the month of death, were entitled to a monthly benefit on the same record as the deceased;</li>
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<li>A surviving spouse not qualified under 1. above;</li>
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<li>Children not qualified under 2. above; or</li>
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<li>Parents not qualified under 3. above.</li>
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</ol>
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<p><a href="ssa-1724.pdf">SSA-1724 | Claim For Amounts Due In The Case Of Deceased Beneficiary</a></p>
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<p>Please complete this form to help us decide who should receive any payment due.</p>
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<p><strong>Where to send this form</strong></p>
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<p>Send the completed form to your <a href="/locator/">local Social Security office</a>. If you have any questions, you may call us toll-free at <strong>1-800-772-1213</strong> Monday through Friday from 7 a.m. to 7 p.m. If you are deaf or hard of hearing, you may call our TTY number, <strong>1-800-325-0778</strong>. </p>
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<h3 class="by">Related Information</h3>
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