Basic worker information

The basic worker information form has the following entries:

• Name: Name of person with Social Security earnings.
• Social Security Number: Social Security number of person with Social Security earnings.
• Date of birth: Date of birth of person with Social Security earnings.
• Date of death: Worker’s date of death.
• Address: Address of beneficiary.
• Totalization: Indicator for totalization benefit.
• No regular Social Security earnings: Indicator for no regular Social Security earnings (must have some railroad earnings or military service).
• Railroad earnings: Indicator for some railroad earnings.
• Military service: Indicator for some military service.
• Medicare-only earnings: Indicator for Medicare-only earnings in some years.
• Blindness: Indicator for statutory blindness where disability applies.
• Deemed insured: Indicator for deemed insured status provision applicable in old-age case.
• Sex of worker: Sex of worker (female or male).
• Type of benefit: Type of benefit (old-age, survivor, or disability).
• Number of family members: Number of family members (other than worker).