FORM SSA 3368 PDF

SSA is the basic form all Social Security disability claimants must fill out to apply for Social Security disability benefits. You may fill it out yourself or, if it. Create a Form Ssa Bk in minutes using a step-by-step template. A Form SSA BK is known as an Adult Disability Report. DISABILITY REPORT – ADULT – Form SSABK. If you need help with this form, do as much of it as you can, and your interviewer will help you finish it.

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If the applicant 33368 currently working, provide information about any changes in his or her work activity. If possible, collect this information from the prescription s or prescription bottles. It is important for SSA to know if an applicant needed to change job duties or hours worked based on their conditions.

Saa not limit yourself to the condition which you are filing. For example, an applicant may be able to work 10 hours per week, but his employer allows extra breaks and a flexible schedule when the applicant experiences anxiety.

For applicants who stopped working, SSA will ask if they stopped because of their conditions or other reasons. If the applicant has been prescribed medication, but is inconsistent in taking it due to symptoms of his or her illness, poor memory, or limited funds, add the medications to section 7 and provide details in the remarks section about the reasons the applicant is not consistently taking the medicine s.

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How to Fill out Form SSA

If you found this page helpful, please share it with others by pressing one of these magic little buttons: Please do not list your current medical doctor in this section, you will be asked for his or her information later on. Section four ssaa some simple yes or no questions regarding work activity. For applicants who do not have a phone, they may provide the number of a friend or local shelter where they can be contacted.

It is helpful to document who the phone number belongs to in this question. Include all information including dosages, frequency, and the name of the physician who prescribed you the medication. Complete information is essential.

It asks for the same kinds fom information as the Online Adult Disability Report. Fill in your details below or click an icon to log in: Provide information in this section about the highest grade the applicant completed and details about special education or specialized training.

How to Fill Out an Application for Disability Benefits (SSA 16 BK and SSA 3368 BK)

After forrm have submitted this form, you will generally have to wait several weeks before the SSA responds to your claim. Be sure to include all information available to you.

Provide the name of the medicine, the prescribing physician, and the reason for the medicine i. What Do You Think? Section 11 gives asa an opportunity to provide any other important information that you feel may not have been covered in the other sections of this form.

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SSA Adult Disability Report | SOAR Works!

If the applicant did not have enough space in the sections of this report to enter the requested information, use this area for additional information. The more training and education you have had, the harder sss can be in some instances to qualify for Social Security disability benefits.

Information about this employer accommodation is not available to SSA in an earnings record, so it is important to provide details on the SSA Question 2f asks about who is completing the report.

More information about materiality can be found here. List every medical, mental, emotional, learning and health condition that you have separately. If the applicant had more than one job in the last 15 years before he or she became unable to work, do not answer the rest of the questions in Section 6 and go to Section 7.

Email Address never made public. Disability Report SSA — This can be a friend, relative, coworker, or anyone else who can attest to your disability. Please let us know if any links on this page stop working. You are commenting using your WordPress. Hours per day, days per week, and rate of pay.

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Expensive, but cheaper than hiring a lawyer. Tips and ideas for answering questions:.