Social Security Documents order form

Use this form to order free documents for your library or for user handouts. Documents are available in both English and Spanish. Documents will be mailed in October 2014.

For more information, contact Sue Walker, sue.walker@libraries.idaho.gov or call 1 (800) 458-3271.

Question Title

* 1. Please enter the contact person the documents will be mailed to:

Name

Library Name

Mailing Address

City

State

Zip code

Phone number

Email address

Question Title

* 2. Please send me the requested number of copies for each title below:

Retirement Benefits: 20 page document gives an overview of Social Security benefits, how they are earned, and how to apply for them. (English language)

Retirement Benefits: 20 page document gives an overview of Social Security benefits, how they are earned, and how to apply for them. (Spanish language)

My Social Security: 2 page handout outlines how to create an online account to check personal Social Security benefits. (English language)

Medicare: 16 page document gives an overview of Medicare health benefits, eligibility requirements, and how to apply for them. (English language)

Medicare: 16 page document gives an overview of Medicare health benefits, eligibility requirements, and how to apply for them. (Spanish language)

ID Theft: 8 page brochure highlights how to protect your Social Security number, avoid identity theft, and what to do if it occurs. (English language)

ID Theft: 8 page brochure highlights how to protect your Social Security number, avoid identity theft, and what to do if it occurs. (Spanish language)

Social Security Poster: 11" by 17" color poster encouraging use of My Social Security to check and apply for Social Security benefits.