GN 01705.215 Applications for Benefits under the U.S. - Italian Agreement

A. Filing for benefits using multiple application forms

United States; or Both countries.

B. Using the Modernized Claims System (MCS) version of form SSA-2490-BK

1. When to use the MCS version

Form SSA-2490-BK is available through MCS. Use the MCS version only when the Number Holder (NH) is filing for:

U.S. retirement or disability Totalization benefits only; or

U.S. retirement or disability benefits (regular or Totalization) and concurrently for Italian benefits.

2. When not to use the MCS version

Do not use the MCS version of Form SSA-2490-BK when the applicant is filing for:

Italian benefits only; or U.S. or Italian survivor's benefits.

Use the paper or electronic Form SSA-2490-BK for Totalization survivor claims. For instructions on how to complete the SSA-2490-BK, see GN 01702.110.

NOTE : If there is an existing U.S. Totalization life claim award, do not take an SSA-2490-BK in claims for U.S. auxiliary benefits or survivor claims. This is not required because an SSA-2490-BK was previously completed in connection with the NH's claim.

C. Determining the required application screens on MCS for Totalization benefits

Use the following information to determine the application screens to complete when taking claims under the U.S. - Italian agreement for U.S. Totalization or Italian benefits.