Ssa 3368 Bk Printable Form You will be considered disabled if you are unable to do any kind of work for which you are suited and if your disability is expected to last or has lasted for at least a year or is expected to result in death So when we ask when did you become unable to work we are asking when you became disabled as defined by the Social Security Act
Social Security Forms SSA Forms All forms are FREE Not all forms are listed If you can t find the form you need or you need help completing a form please call us at 1 800 772 1213 TTY 1 800 325 0778 or contact your local Social Security office and we will help you HOW TO COMPLETE THIS FORM The information that you give us on this form will be used by the office that makes the disability decision on your disability claim You can help them by completing as much of the form as you can Please fill out as much of this form as you can before your interview appointment Print or write clearly
Ssa 3368 Bk Printable Form
Ssa 3368 Bk Printable Form
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Fill Free Fillable Form SSA 3368 BK DISABILITY REPORT ADULT PDF Form
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Form SSA 3368 BK Download Fillable PDF Or Fill Online Disability Report Adult Templateroller
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The following instructions are for completing the preprinted paper Form SSA 3368 Disability Report Adult The Disability Determination Services DDS uses the information on the 3368 to develop medical and other evidence that can be used to establish the correct onset date You file Form 3368 with the Social Security Administration SSA when you apply for disability benefits It s required for both Social Security disability insurance SSDI and Supplemental Security Income SSI disability applicants For SSDI applicants this Adult Disability Report is now part of the main online disability application
You will find information about the work activity pertinent to onset on Form SSA 3368 BK Section 4 Some of this information pertains to whether the work is substantial gainful activity SGA For more information on SGA see DI 24001 010 For more information about making a determination of capacity for past work see DI 25005 015 An i3368 initiated before January 25 2014 may potentially be a protective writing to protect a filing date for disability benefits However an i3368 initiated after January 24 2014 cannot serve as a protective writing An IU can complete the iClaim and i3368 in one or multiple Internet sessions
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Form SSA 3368 A Guide To Your Disability Report
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Form SSA 3368 A Guide To Your Disability Report
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SSA 3368 BK 2012 Fill And Sign Printable Template Online US Legal Forms
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Form SSA 3368 BK 10 2015 UF 10 2015 Destroy Prior Editions SOCIAL SECURITY ADMINISTRATION DISABILITY REPORT ADULT Form Approved OMB No 0960 0579 Page 1 For SSA Use Only Do not write in this box Related SSN Number Holder SECTION 1 INFORMATION ABOUT THE DISABLED PERSON 1 A Name First Middle Initial Last The SSA 3368 is used for title II and title XVI disability or blindness claims Reviewers obtain basic information on an adult claimant s medical conditions medical treatment including sources of medical evidence and any other information needed to process the claim to a decision The form also reserves the claimant s protective filing
SSA 3368 Adult Disability Report SOAR Works Home Library Tools SSA 3368 Adult Disability Report Adult Disability Report The SSA 3368 Adult Disability Report provides information about the applicant and can be completed online after completing the Online Disability Benefit Application If you need the address or phone number for your State Agency you can get it by calling Social Security at 1 800 772 1213 TTY 1 800 325 0778 You may send comments on our time estimate above to SSA 6401 Security Blvd Baltimore MD 21235 6401
Form SSA 3368 BK Download Fillable PDF Or Fill Online Disability Report Adult Templateroller
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Fill Free Fillable Form SSA 3368 BK DISABILITY REPORT ADULT PDF Form
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https://www.ssa.gov/forms/ssa-3368.pdf
You will be considered disabled if you are unable to do any kind of work for which you are suited and if your disability is expected to last or has lasted for at least a year or is expected to result in death So when we ask when did you become unable to work we are asking when you became disabled as defined by the Social Security Act
https://www.ssa.gov/forms/
Social Security Forms SSA Forms All forms are FREE Not all forms are listed If you can t find the form you need or you need help completing a form please call us at 1 800 772 1213 TTY 1 800 325 0778 or contact your local Social Security office and we will help you
Form SSA 3368 BK Download Fillable PDF Or Fill Online Disability Report Adult Templateroller
Form SSA 3368 BK Download Fillable PDF Or Fill Online Disability Report Adult Templateroller
Ssa 3368 Bk Fillable Form Printable Forms Free Online
SSA Form 3368 How To Fill Out Your Disability Claim
Editable Social Security Disability Form 0960 0598 2000 Fill Out Sign Online DocHub
Form SSA 3368 BK Download Fillable PDF Or Fill Online Disability Report Adult Templateroller
Form SSA 3368 BK Download Fillable PDF Or Fill Online Disability Report Adult Templateroller
Form SSA 3368 BK Download Fillable PDF Or Fill Online Disability Report Adult Templateroller
Fill Free Fillable Form SSA 3368 BK DISABILITY REPORT ADULT PDF Form
Form SSA 3368 BK Download Fillable PDF Or Fill Online Disability Report Adult Templateroller
Ssa 3368 Bk Printable Form - If you re applying for Social Security Disability Insurance SSDI or Supplemental Security Income SSI you must complete the Adult Disability Report Form SSA 3368 BK as part of the application process Form SSA 3368 includes questions about your medical condition and work history
