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Forms: BWE Request Form
This request should accompany wage reports made to the Social Security Administration if you are a blind person receiving an SSI benefit, or Medicaid under the 1619(b) provisions. You should include receipts, and proof of wages or your self-employment tax returns.
This is a request that the items outlined on this document be deducted as Blind Work Expenses when you consider the work activity I am reporting. The items listed below meet the following requirements:
- They are necessary for my work activity or self-employment
- They were paid by me, and not reimbursed by another source
- They were not deducted as a business expense;
- I will be happy to provide additional documentation, if requested.
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