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SSA-3033 2014 free printable template

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Form SSA-3033 08-2014 ef 08-2014 Page 1 What We Need You To Do Please have direct supervisor or another person having direct knowledge of the employee s work activity complete the work activity questionnaire. Send only comments relating to our time estimate above to SSA 6401 Security Blvd Baltimore MD 21235-6401. Page 3 Form Approved OMB No. 0960-0483 WORK ACTIVITY QUESTIONNAIRE Business Name Job Title Hourly Wage Hours per Week Date Work Started Date Work Stopped Section 1 1. Social Security...
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SSA-3033 Form Versions

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How to fill out SSA-3033

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How to fill out SSA-3033

01
Begin by downloading the SSA-3033 form from the Social Security Administration website.
02
Carefully read the instructions provided on the form to understand the requirements.
03
Fill out your personal information, including your name, Social Security number, and contact details, in the designated sections.
04
Provide detailed information about the reason you are filling out the SSA-3033, including any relevant dates and incidents.
05
Review your entries to ensure accuracy and completeness.
06
Sign and date the form at the bottom as required.
07
Submit the completed form via mail or in person at your local Social Security office.

Who needs SSA-3033?

01
Individuals who are seeking to provide additional information or evidence related to their Social Security benefits.
02
People who have experienced changes in circumstances that may affect their eligibility for benefits.
03
Anyone who has received a notice requesting further information from the Social Security Administration.

Instructions and Help about SSA-3033

All right everybody greets this again is attorney Anthony Ruiz bringing you your social security legal beat tip and I got a couple of questions that have imposed out to me, I want to thank the individuals who are asking me about the workers comp offset as well as about the pain threshold what we call the pain standard as well as about the medically determinable impairment I'm going to address those and upcoming videos, but I wanted to address this one for Mr. CPU who asked me about the functional report forms third party glad you brought that up because that's something I like to talk to people about when this fullness part popped out when you file your disability application and your case gets transferred to the disability determination services one of the things they do is they will send out forms to you with your functional forms these functional forms are designed for you to describe what's going on in the course of your daily activities was coming in terms of what do you do when you get up in the morning how do you handle getting dressed when you do experience any problems don't you're cleaning the house or anything like that what most people don't also realize is that when they'll also ask you meaning in Social Security Administration is to provide them the name of at least two or three people who can provide them with information about your case or about you and what they do is they send them a form similar to the one that you receive this may sound wild, but I want you to keep in mind this somebody asked me once before why does Social Security send all these forms all over the place I don't understand I'll tell you one word consistency because a lot of times they want to see is what you're saying consistent with what everybody else is seeing as well let me give you a good example let's say for instance you say when you go to the grocery store that every time you go you got to ride in a motorized car, and you always have to go with someone you can never go by yourself, and then they send a form to your friend and your friend and ask them have you ever seen your friend go grocery shopping yeah I see him the other day when they were grocery shopping were there any problems' no they were walking around like we walked up and down the aisles together now see how that's a little different from you saying you're at a corporate cart, and you're the other friend of yours are saying they've seen you walking down the aisle that plays a part with your credibility because if you're not being consistent they're going to look at what you're saying in light of your condition with a little degree of suspect so the first thing they do is they look for consistency, and it's consistency throughout so when you get those functional reports they're trying to see are you embellishing them let me kind of add it a step further in some instances when you're apply in some states you have two appeals before you go before judge well the first appeal they're going to...

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People Also Ask about

SSA-2855. Statement of Funds you Received. SSA-3033. Employee Work Activity Questionnaire.
SSA-3033, Work Activity Questionnaire (used to obtain more detailed information from the employer when SSA learns through completed Form 821-BK or other information that a subsidy or special condition may exist).
Social Security Cards - Form SSA 3000.
How to Answer Disability Questionnaires Write clearly and legibly. Avoid erasures as much as possible. Do not leave any section of the form blank (unless otherwise specified). Give consistent answers. Answer the questions truthfully. Follow the instructions on the form.
You only have a limited time to comply (10 days from the date of the letter) with Social Security's request so don't delay. But, don't rush through your answers either. Your Adult Function Report, also known as SSA 3373, stays on the record through your entire case and cannot be modified.
You can earn up to $2,460 a month in 2023 before your earnings may affect your benefits.

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SSA-3033 is the 'Request for Waiver of Overpayment Recovery' form used by the Social Security Administration.
Individuals who have been notified of an overpayment from Social Security benefits and wish to request a waiver must file SSA-3033.
To fill out SSA-3033, provide personal information, details about the overpayment, financial information, and reasons for requesting a waiver, and then submit it to the Social Security Administration.
The purpose of SSA-3033 is to allow individuals to formally request a waiver of the recovery of an overpayment of Social Security benefits.
The information required includes personal identification information, details of the overpayment, financial circumstances, and a statement explaining why repayment would cause financial hardship.
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