FBU Inquiry Form

INQUIRIES FOR THE FEDERAL BENEFITS UNIT

*All fields are required (unless designated optional)

The Federal Benefits Unit operates on an appointment-only system. To schedule an appointment or to obtain information, please fully complete the inquiry form and specify your request in remarks. If you would like to request an appointment, FBU staff will reply to you to confirm your appointment date and time. Please ensure that your contact information is accurate and complete.

Select Inquiry Reason(Required)

Primary Number Holder*

The primary number holder is the wage earner, self-employed person, or main beneficiary who is entitled to benefits. The primary number holder can also be an individual applying for a new or replacement Social Security Number (SSN).

First Name(Required)

Last Name(Required)

Date of Birth

Date of Death

Last 4 digits of Social Security Number:(Required)

Beneficiary Notice Control (BNC) Number:

The BNC# is a 13-16 digit alpha-numerical code that is found in the upper righthand corner of most SSA notices (below the return address and date).

Claimant or Beneficiary (optional)

The claimant or beneficiary is the individual who is applying for benefits or receiving benefits on the primary worker’s record. This could be a wife, husband, child, widow(er), or ex-spouse of the worker.

First Name

Last Name

Date of BIrth

Date of Death

Last 4 digits of Social Security Number:

Beneficiary Notice Control (BNC) Number:

The BNC# is a 13-16 digit alpha-numerical code that is found in the upper righthand corner of most SSA notices (below the return address and date).

Contact Information:

Email Address:(Required)

Enter Email Confirm Email

Telephone Country Code:(Required)

Primary Telephone Number:(Required)

Alternate Telephone Number (Optional):

Address(Required)

Street Address 1: Street Address 2: City: Postal Code: Country:

Issue:(Required)

Please briefly explain your reason for contacting our office.

The information you provide is used solely by the Federal Benefits Unit. In order to process certain types of requests, we may have to ask for your Social Security Number (SSN), your date of birth, your banking information and other information. You may decline to provide such information, but that could inhibit our ability to answer your questions or assist you with your request. Any information provided on our web form is not retained and is used only in order to process your current request or answer your current questions. The Federal Benefits Unit works in accordance with SSA procedures as well as the Paperwork Reduction Act (44 U.S.C. 3501 et seq.) and the Privacy Act of 1974. You can read our full privacy statement at http://www.socialsecurity.gov/foia/privacy.html.

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U.S. Embassy in the
Philippines

Primary Number Holder*

Claimant or Beneficiary (optional)

Contact Information:

U.S. Embassy in the Philippines