Your benefits have been suspended because we did not timely receive your Foreign Enforcement Questionnaire.
In order to reinstate the benefits you must take the following actions:
- Complete the SSA-7162 form (Pdf-59Kb) if: you receive payments in your own name.
- Complete the SSA-7161 form (Pdf-74Kb) if: you receive payments through a representative payee.
- Please make sure to include:
-
- Social Security Number;
- Signature (Note: we cannot accept digital or electronic signatures)
- Date
-
You will need to send the original document (no copies) physically to one of the following addresses:
US EMBASSY SAN JOSE (FBU)
Apartado Postal 920
Pavas 1200 10109
San Jose, Costa Rica
US EMBASSY SAN JOSE
Unidad de beneficios federales
Avenida 0 calle 120
Pavas, San José
Costa Rica
Social Security Administration
Wilkes Barre Data Operations Center
Attention: FEQ Analyst, FEQ Forms 7161-7162
1150 E. Mountain Dr.
Room 341
Wilkes Barre, PA 18702-7997
****IMPORTANT****
We cannot accept the forms electronically and are unable to reinstate your benefits if you send this form to us via email.