Ssa-521 Form - Request for withdrawal of application (pdf). Web how to withdraw your application. Then, find the social security office closest to your home and mail us the completed form. If you already have medicare, your request must also clearly. Request a proof of social security benefits letter: Include the reason why you want to withdraw the application on the form. Request special notices for the blind or visually impaired: Privacy act statement collection and use of personal information. Web mail us a request to cancel your application.
Privacy act statement collection and use of personal information. If you already have medicare, your request must also clearly. Request special notices for the blind or visually impaired: Request a proof of social security benefits letter: Web mail us a request to cancel your application. Then, find the social security office closest to your home and mail us the completed form. Include the reason why you want to withdraw the application on the form. Request for withdrawal of application (pdf). Web how to withdraw your application.