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SSA-3369-BK 2008 free printable template

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Job Title Type of Business Dates Worked From To Form SSA-3369-BK 2-2008 ef 02-2008 Use 12-2003 and 1-2005 Editions Until Supply Is Exhausted PAGE 1 Give us more information about Job No. 1 listed on Page 1. WORK HISTORY REPORT-Form SSA-3369-BK READ ALL OF THIS INFORMATION BEFORE YOU BEGIN COMPLETING THIS FORM IF YOU NEED HELP If you need help with this form complete as much of it as you can* Then call the phone number provided on the letter sent with the form or the phone number of the person...
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How to fill out 2008 ssa 3369 bk

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How to fill out 2008 ssa 3369 bk:

01
Start by gathering all the necessary information and documentation, such as your personal details, medical history, and any supporting documents related to your disability.
02
Begin by filling out the first section, which includes providing your name, Social Security number, contact information, and the reason for completing the form.
03
Move on to the second section, where you will detail your medical conditions, including the names of your healthcare providers and the dates of your visits.
04
In the third section, describe how your medical condition affects your ability to work, including any physical, mental, or emotional limitations you experience.
05
If applicable, complete the fourth section, which requests information about your work history, including your previous jobs and the physical and mental demands they entailed.
06
The fifth section requires you to provide information about any assistive devices, treatments, or medications you use to manage your condition.
07
Next, if you have any additional information, use the sixth section to provide any details that were not covered in the previous sections.
08
Lastly, review the entire form for accuracy and completeness before signing and dating it.

Who needs 2008 ssa 3369 bk:

01
Individuals who are applying for Social Security disability benefits and need to provide detailed information about their medical conditions and how they affect their ability to work.
02
People who have been asked by the Social Security Administration to complete the form as part of the application process.
03
Individuals who are seeking to appeal a previous decision regarding their disability benefits and need to provide updated information on their medical condition.

Instructions and Help about 2008 ssa 3369 bk

This is the work history report provided to claimants who have applied for Social Security disability benefits this form does come directly from the Social Security office it is not sent to you from your attorney it is sent to you from the Social Security office in order for them to gather all the information they need in order to make a decision on whether you qualify for disability benefits and if you will be awarded obviously the more work you have the more work credits you have which will affect the award amount we often have clients that ask us if they have to fill this out or how much of it they have to fill out do they really have to go back 15 years and the answer to those questions or yes to all of them you do need to fill this out your attorney cannot do this for you because you know your history the best however at least here at the Kali law firm where he'll be happy to help you walk you through the form and if you just physically cannot write or tie then of course we would help you with it if you don't have someone at home that can do it for you the first page section one just asks for your name social security number and daytime telephone number where you can be reached any time you need to put all this information in because this will associate it to your disability application section two is information about your work so the first portion it does asks to list all the jobs that you've had in the last 15 years you need to list everything that you've had what your job was what type of business it and the days that you work as close to as accurate as possible obviously 15 years ago it's hard to remember exact dates and that's fine don't worry about it just keep it as you know accurate as possible once you've listed just all your jobs and the next several pages each pages for each job and is asking for very specific information it's asking for your rate of pay whether it's hourly or salary how much you worked how many days per week that you worked and then a description of the job itself what did you do all day they're going to get a sense of just your type what type of work that you're qualified to do you were healthy and then ultimately based on this and then Medical has history and other things they'll be able to determine if you're able to continue doing this sort of job this is why you've hired an attorney we do the argument for you defense for you, but we do need you to fill out this information after you've given a description of the job you will just answer the remaining questions give them an idea of how often or how what the frequency of how much you did something like walking or standing were you on your feel a day did you have to crawl or crouched let's say you're someone that has a shoulder injury, and you can no longer lift things, but that's what all your work history is that's good supporting your case you want to make sure you give them accurate information of how much you lifted during your jobs again this section...

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