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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Section 8 sssa about your medical treatment. You will be sent these forms sometime in the next six months. The first section of form SSA asks for general information.

Social Security Disability Form 3368: Adult Disability Report

Include all information including dosages, frequency, and the name of the physician who prescribed you the medication. Secondary menu FAQ Blog.

Provide the name of the medicine, the prescribing physician, and the reason for the medicine i. Section four contains some simple gorm or no questions regarding work activity.

After you have submitted this form, you will generally have to wait several weeks before the SSA responds to your claim. Email Address never made public.

The second section requires that you provide contact information for someone who is familiar fotm your disabling condition. Make use of this space to give the SSA a complete description of your disabling condition. Expensive, but cheaper than hiring a lawyer.


You are commenting using your Facebook account. For applicants who stopped working, SSA will ask if they stopped because of their conditions or other reasons. Section five asks for education history. Type of treatment received. If 33688 applicant has cancer, include the type and stage, as the applicant may qualify for a Compassionate Allowance.

Include all medical sources that have examined or treated the applicant for physical or mental conditions, even if they are not recent. Use this section to collect any additional information or explanation the applicant did not give in other parts of this report. If the applicant does not remember 336 job title, add a generic title that describes the tasks performed.

Social Security Disability Form Adult Disability Report | DisabilitySecrets

If you list substance use as a condition that limits his or her ability to work, you need to include substantial evidence that the use is not material to his or her gorm. Please comment below with stories, ideas, questions or suggestions. No matter how you apply, the questions are all the same. It is helpful to document who the phone number belongs to in this question.

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

Please do not list your current medical doctor in this section, you will be asked for his or her information later on. Hours per day, days per week, and rate of pay.


Provide information in this section about the highest grade the applicant completed and details about special education or specialized training.

Specialized training foem include: List all medications—prescription or non-prescription, that you take on a regular basis.

You are commenting using your WordPress. List them whether you have been seen by a medical professional or not.

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

Indicate in remarks which medical records you will be submitting fform the application. Below is a summary of the 11 sections of the SSA Complete information is essential.

If the applicant had more than one job in the last 15 years before he ssw she became unable to work, do not answer the rest of the questions in Section 6 and go to Section 7. This can be a friend, relative, coworker, or anyone else who can attest to your disability. List all brand name or generic medicines the applicant is taking, including those prescribed by a doctor and any over-the-counter medicines, to treat his or her physical and mental conditions.

Most claimants would fodm from the help and advice of an experienced Social Security disability lawyer when filling this form out.