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 you have had more than one job, skip the rest of the section and move on to Section 7. 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. Leave a Reply Cancel reply Enter your comment here Fill in your details below or click an icon to log in: Forn do not list your sas medical doctor in this section, you will be asked for his or her information later on.

Social Security Disability Form Adult Disability Report | DisabilitySecrets

If you are currently collecting SSI, you will need to answer the questions regarding self-support programs like Ticket to Work. Skip to main content. View a completed sample SSA here. If this section applies, provide information about any vocational rehabilitation or supportive services the applicant has received. For example, individuals aged 18 who have been receiving SSI as children and are undergoing a redetermination to qualify for Rorm as an adult.


This section is only for individuals who are already receiving SSI. Note that symptoms of mental illness are included in this question.

How to Fill Out an Application for Disability Benefits (SSA 16 BK and SSA BK) – How to Get On

If the applicant had only one job in the last 15 years, answer the rest of the questions in Section 6. If this applies, SSA will ask the applicant when they believe their conditions became severe enough to prevent them from working.

ssa Secondary menu FAQ Blog. Applicants may be approved on a combination of physical and mental health conditions, so it is important to be comprehensive in this section.

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

Section 7 deals with the medications you are sea. Fill out or check every treatment which you have undergone, whether it relates directly to your disability or not. If the applicant has cancer, include the type and stage, as the applicant may qualify for a Compassionate Allowance.

For applicants who stopped working, SSA will ask if they stopped because of their conditions or other reasons. 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.

For applicants experiencing homelessness, provide an address where they are comfortable receiving mail. List every medical, mental, emotional, learning and health condition that you have separately. Provide information in this section about the highest grade the applicant completed and details about special education or specialized training.


Social Security Disability Form 3368: Adult Disability Report

This information is used by the SSA to determine what kinds of jobs you may fork qualified to do and whether you are capable of returning to any kind of work with which you have experience. SSA will also ask if the applicant had changes in his or her work activity prior to the date he or she stopped working.

Hours per day, days per week, and rate of pay. Section four contains some simple yes or saa questions regarding work activity. Enter the type of job performed, not the name of the employer. Simply provide the required information and double check to make sure that it is accurate. List the most recent job first and do not exclude jobs from the list just because earnings are minimal.

If the applicant does not remember their job title, add a generic title that describes the tasks performed. Skip to content Robin Mead You can apply 33368 Social Security Disability online, on paper, in person, on the phone or through a lawyer. However it gives you sample completed copies of every form, plus step-by-step instructions for each form. Provide the 33368 of the medicine, the prescribing physician, and the reason for the medicine i.