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 SSA-1099 in the form_type parameter.
Field descriptions
The following fields are available on this form type:
| JSON Attribute | Data Type | Description |
|---|---|---|
a_ssa-1099-Part1-GeneralInformation:1-Name | Text | 1 - Name |
a_ssa-1099-Part1-GeneralInformation:2-BeneficiarySocialSecurityNumber | Text | 2 - Beneficiary Social Security Number |
a_ssa-1099-Part1-GeneralInformation:3-BenefitsPaidIn[YearOfDocument] | Money | 3 - Benefits Paid In [Year of Document] |
a_ssa-1099-Part1-GeneralInformation:4-BenefitsRepaidToSsaIn[YearOfDocument] | Money | 4 - Benefits Repaid To SSA In [Year of Document] |
a_ssa-1099-Part1-GeneralInformation:5-NetBenefitsFor[YearOfDocument](Box3MinusBox4) | Money | 5 - Net Benefits For [Year of Document] (Box 3 Minus Box 4) |
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line1:description | Text | Line 1 Description |
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line1:amount | Money | Line 1 Amount |
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line2:description | Text | Line 2 Description |
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line2:amount | Money | Line 2 Amount |
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line3:description | Text | Line 3 Description |
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line3:amount | Money | Line 3 Amount |
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line4:description | Text | Line 4 Description |
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line4:amount | Money | Line 4 Amount |
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line5:description | Text | Line 5 Description |
a_ssa-1099-Part2-DescriptionOfAmountInBox3:line5:amount | Money | Line 5 Amount |
a_ssa-1099-Part3-DescriptionOfAmountInBox4:line1:description | Text | Line 1 Description |
a_ssa-1099-Part3-DescriptionOfAmountInBox4:line1:amount | Money | Line 1 Amount |
a_ssa-1099-Part3-DescriptionOfAmountInBox4:line2:description | Text | Line 2 Description |
a_ssa-1099-Part3-DescriptionOfAmountInBox4:line2:amount | Money | Line 2 Amount |
a_ssa-1099-Part3-DescriptionOfAmountInBox4:line3:description | Text | Line 3 Description |
a_ssa-1099-Part3-DescriptionOfAmountInBox4:line3:amount | Money | Line 3 Amount |
a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line1:description | Text | Line 1 Description |
| `a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line1:amount | Money | Line 1 Amount |
a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line2:description | Text | Line 2 Description |
a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line2:amount | Money | Line 2 Amount |
a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line3:description | Text | Line 3 Description |
a_ssa-1099-Part4-Box6VoluntaryFederalIncomeTaxWithheld:line3:amount | Money | Line 3 Amount |
a_ssa-1099-Part5-Address:7-Name | Text | 7 - Name |
a_ssa-1099-Part5-Address:7-Address:addressLine1 | Text | 7 - Address Line 1 |
a_ssa-1099-Part5-Address:7-Address:addressLine2 | Text | 7 - Address Line 1 |
a_ssa-1099-Part5-Address:7-Address:city | Text | 7 - Address City |
a_ssa-1099-Part5-Address:7-Address:state | State | Formatted as a 2-character state code. 7 - Address State |
a_ssa-1099-Part5-Address:7-Address:zip | Zip Code | 5-digit zip code in which Payer is located. 7 - Address Zip |
a_ssa-1099-Part6-Box8-ClaimNumber:8-ClaimNumber(UseThisNumberIfYouNeedToContactSsa.) | Text | 8 - 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).
drive.google.comSample 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"
}
Updated 24 days ago