Common use of Benefits Received Clause in Contracts

Benefits Received. 1. Does the Beneficiary receive Supplemental Security Income (SSI)? Yes: No: If so, how much per month? $

Benefits Received. 1. Does the Beneficiary receive Supplemental Security Income (SSI)? Yes: No: If soyes, how much amount received per month? $: $ Address and phone number of SSI office: