All forms are FREE. Not all forms are listed. If you can`t find the form you need or need help filling out a form, please call us at 1-800-772-1213 (TTY 1-800-325-0778) or contact your local Social Security office and we`ll help. If you are downloading, printing and filling out a paper form, please mail it or take it to your local social security office or the office that requested it. Note: If you are using a screen reader, we recommend that you open the form in Adobe Reader. If you do not have Adobe Reader, please click on the following link. Thank you very much! BPQY Information Disclosure Consent Form – click to download You must also provide your CWIC with a review of other public benefits received, including food stamps, Medicaid benefits if you are not an ISS beneficiary, Section 8 housing or any other rent assistance, etc. If you are unable to provide this confirmation at a first meeting, the CWIC may ask you to sign an authorization to receive the information. The BPQY is a free report to beneficiaries and provides you and your CWIC with an overview of the types of benefits you receive, your income history, and any work incentives you have used and that Social Security has currently stored in their electronic records.

The BPQY report contains the following information: If you need help completing the consent forms, please call 1-866-960-WORK. For more information about BPQY click here. In order for Goodwill`s WIPA program to receive your BPQY, two release forms must be completed and returned. To obtain your BPQY, contact the Social Security Administration at 1.800.772.1213. If you are calling, please refer to this form as SSA-2459. An essential tool for verifying beneficiary and CWIC benefits is the Benefit Planning Request, or YPIP. If you are unable to receive your BPQY, Goodwill`s WIPA program will receive the document for you as part of your first meeting with a Community Work Incentive Coordinator. The Social Security Administration (SSA) provides beneficiaries with a free report on their performance history.

This is called the Benefit Planning Request (BPQY). The SSA shall make this report available to the beneficiary or its representative beneficiary on request. In both documents, the following fields must be completed: WIPA does not help individuals claim benefits; We also don`t provide help to solve services that have nothing to do with work… .