IRS Form SSA-1099 - Social Security Benefit Statement

A Social Security 1099, also called an SSA-1099, is a tax form that shows the total amount of benefits received from Social Security in the previous year. It is mailed out each January to people who receive benefits and tells them how much Social Security income to report to the IRS on their tax return.

To use the Upload PDF endpoint for this document, you must use a_ssa-1099 in the form_type parameter.

Field descriptions

The following fields are available on this form type:

JSON AttributeData TypeDescription
a_ssa-1099-Part1-GeneralInformation:1-NameText1 - Name
a_ssa-1099-Part1-GeneralInformation:2-BeneficiarySocialSecurityNumberText2 - Beneficiary Social Security Number
a_ssa-1099-Part1-GeneralInformation:3-BenefitsPaidIn[YearOfDocument]Money3 - Benefits Paid In [Year of Document]
a_ssa-1099-Part1-GeneralInformation:4-BenefitsRepaidToSsaIn[YearOfDocument]Money4 - Benefits Repaid To SSA In [Year of Document]
a_ssa-1099-Part1-GeneralInformation:5-NetBenefitsFor[YearOfDocument](Box3MinusBox4)Money5 - Net Benefits For [Year of Document] (Box 3 Minus Box 4)
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line1:descriptionTextLine 1 Description
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line1:amountMoneyLine 1 Amount
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line2:descriptionTextLine 2 Description
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line2:amountMoneyLine 2 Amount
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line3:descriptionTextLine 3 Description
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line3:amountMoneyLine 3 Amount
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line4:descriptionTextLine 4 Description
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line4:amountMoneyLine 4 Amount
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line5:descriptionTextLine 5 Description
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line5:amountMoneyLine 5 Amount
a_ssa-1099-Part3-DescriptionOfAmountInBox4:line1:descriptionTextLine 1 Description
a_ssa-1099-Part3-DescriptionOfAmountInBox4:line1:amountMoneyLine 1 Amount
a_ssa-1099-Part3-DescriptionOfAmountInBox4:line2:descriptionTextLine 2 Description
a_ssa-1099-Part3-DescriptionOfAmountInBox4:line2:amountMoneyLine 2 Amount
a_ssa-1099-Part3-DescriptionOfAmountInBox4:line3:descriptionTextLine 3 Description
a_ssa-1099-Part3-DescriptionOfAmountInBox4:line3:amountMoneyLine 3 Amount
a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line1:descriptionTextLine 1 Description
`a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line1:amountMoneyLine 1 Amount
a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line2:descriptionTextLine 2 Description
a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line2:amountMoneyLine 2 Amount
a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line3:descriptionTextLine 3 Description
a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line3:amountMoneyLine 3 Amount
a_ssa-1099-Part5-Address:7-NameText7 - Name
a_ssa-1099-Part5-Address:7-Address:addressLine1Text7 - Address Line 1
a_ssa-1099-Part5-Address:7-Address:addressLine2Text7 - Address Line 1
a_ssa-1099-Part5-Address:7-Address:cityText7 - Address City
a_ssa-1099-Part5-Address:7-Address:stateStateFormatted as a 2-character state code.
7 - Address State
a_ssa-1099-Part5-Address:7-Address:zipZip Code5-digit zip code in which Payer is located. 7 - Address Zip
a_ssa-1099-Part6-Box8-ClaimNumber:8-ClaimNumber(UseThisNumberIfYouNeedToContactSsa.)Text8 - Claim Number (Use This Number If You Need To Contact SSA.)

Sample Form

The below Ocrolus Sample PDF (input) matches the below Sample JSON Result (output).

Sample JSON Result

{
  "status": 200,
  "response": {
    "pk": 16434416,
    "uuid": "cc6bdc5e-2154-4b49-b7a2-1e01839f9420",
    "name": "SSA-1099 Output for API",
    "created": "2022-02-01T18:26:29Z",
    "created_ts": "2022-02-01T18:26:29Z",
    "verified_pages_count": 1,
    "book_status": "ACTIVE",
    "id": 16434416,
    "forms": [
      {
        "pk": 34220761,
        "uuid": "a2fd2f86-c955-4682-8c68-d11acf3570ba",
        "form_type": "SSA-1099",
        "raw_fields": {
          "a_ssa-1099-Part5-Address:7-Name": {
            "value": "SAMUEL HARPER",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part5-Address:7-Address:zip": {
            "value": "97215",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "ssa-1099-Part1-GeneralInformation:year": {
            "value": "2016",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part5-Address:7-Address:city": {
            "value": "PORTLAND",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part5-Address:7-Address:state": {
            "value": "NY",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part1-GeneralInformation:1-Name": {
            "value": "SAMUEL HARPER",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part5-Address:7-Address:addressLine1": {
            "value": "1874 WILSON STREET",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part5-Address:7-Address:addressLine2": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part2-DescriptionOfAmountInBox3:line1:amount": {
            "value": "20148.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part2-DescriptionOfAmountInBox3:line2:amount": {
            "value": "1320.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part2-DescriptionOfAmountInBox3:line3:amount": {
            "value": "21468.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part2-DescriptionOfAmountInBox3:line4:amount": {
            "value": "21468.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part2-DescriptionOfAmountInBox3:line5:amount": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part3-DescriptionOfAmountInBox4:line1:amount": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part3-DescriptionOfAmountInBox4:line2:amount": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part3-DescriptionOfAmountInBox4:line3:amount": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part2-DescriptionOfAmountInBox3:line1:description": {
            "value": "PAID BY CHECK OR DIRECT DEPOSIT",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part2-DescriptionOfAmountInBox3:line2:description": {
            "value": "MEDICARE PART B PREMIUMS DEDUCTED FROM YOUR BENEFITS",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part2-DescriptionOfAmountInBox3:line3:description": {
            "value": "TOTAL ADDITIONS",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part2-DescriptionOfAmountInBox3:line4:description": {
            "value": "BENEFITS FOR 2016",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part2-DescriptionOfAmountInBox3:line5:description": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part3-DescriptionOfAmountInBox4:line1:description": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part3-DescriptionOfAmountInBox4:line2:description": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part3-DescriptionOfAmountInBox4:line3:description": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line1:amount": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line2:amount": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line3:amount": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part1-GeneralInformation:3-BenefitsPaidIn[YearOfDocument]": {
            "value": "21468.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part1-GeneralInformation:2-BeneficiarySocialSecurityNumber": {
            "value": "451-60-5178",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line1:description": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line2:description": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line3:description": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part1-GeneralInformation:4-BenefitsRepaidToSsaIn[YearOfDocument]": {
            "value": "NONE",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part1-GeneralInformation:5-NetBenefitsFor[YearOfDocument](Box3MinusBox4)": {
            "value": "21468.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          },
          "a_ssa-1099-Part6-Box8-ClaimNumber:8-ClaimNumber(UseThisNumberIfYouNeedToContactSsa.)": {
            "value": "451-60-5178 A",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "SSA-1099.pdf"
          }
        },
        "form_config_pk": 37326,
        "tables": []
      }
    ],
    "book_is_complete": true
  },
  "message": "OK"
}