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.