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SSA-3368-BK 2020 free printable template

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Disability Report- Adult-Form SSA-3368-BK You can get help from other people such as a friend or family member. DISABILITY REPORT - ADULT SSA-3368-BK PLEASE READ THIS INFORMATION BEFORE COMPLETING THIS REPORT The information you give us on this report will be used by the office that makes the disability decision on your disability claim. Completing this report accurately and completely will help us expedite your claim. Please complete as much of the report as you can. IF YOU NEED HELP Note If...
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How to fill out SSA-3368-BK

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How to fill out SSA-3368-BK

01
Begin by reading the instructions provided at the top of the SSA-3368-BK form.
02
Fill in your personal information, including your name, Social Security number, and date of birth.
03
Answer questions about your medical condition, including the nature of your impairment.
04
List all medical treatment facilities you have visited, including addresses and dates of service.
05
Provide details of any medications you are currently taking, including dosages.
06
Include information about your work history, including job titles and dates of employment.
07
Discuss any education or training you have received that may relate to your employment.
08
Complete any additional sections as required based on your individual circumstances.
09
Review all answers for accuracy and completeness.
10
Sign and date the form before submitting it.

Who needs SSA-3368-BK?

01
Individuals applying for Social Security Disability Insurance (SSDI).
02
Claimants who need to report their limitations due to a medical condition.
03
People seeking assistance due to disabilities that impair their ability to work.

Who needs a Social Security Report adult form?

Persons, whose limited abilities do not allow them to work, must fill out a Social Security Report to get the status of the disabled.

What is the Social Security Report adult form?

The information a person gives to the Social Security office on this report will be used by the office that makes the disability decision on person’s disability claim. Completing this report accurately and comprehensively will help the officials expedite the person’s claim. Persons will be considered disabled if they are unable to do any kind of work for which they suited and if the disability is expected to last (or has lasted) for at least a year or is expected to result in death.

Is Social Security Report adult form accompanied by other forms?

This form may be accompanied by the following few ones (depending on the requirements of the Social Security office): SSA 3368, SSA 827 and SSA 3380 bk. If the claimant has any of their medical records, they should be sent or brought to Social Security office with this completed report.

When is Social Security Report adult form due?

Submission of this form is not regulated by any specific deadlines.

How do I fill out Social Security Report adult form?

You should include a ZIP or postal code with each address. Provide complete phone numbers including area code. You must answer every question, unless the report indicates otherwise. Be sure to explain your answer if the question asks for an explanation, or if you want to give additional information. Questions of this report relate to the following topics: medical conditions, work activity, education and training, job history, medicines and medical treatment.

Where do I send Social Security Report adult form?

You should send or bring the completed form to the office that requested it. You can find your local Social Security office through SSA’s website at www.socialsecurity.gov.

Instructions and Help about SSA-3368-BK

All right everyone we're going to try something a little different this time around as you probably know a lot of my videos that I prepare are actually fairly prepared in advance, but I wanted to try something a little different usually I use the video camera that I had set up already, but somebody suggested that I use Google hangout because it would give me the ability to do a few other things as well so let's go ahead and get shaken and basin here I want to talk to you a little about the adult function forms I'm going to share my screen with you because I want to be able to go through this with you so that you have an understanding of exactly how important this form is and in terms of what you need to do in terms of your case so why don't you give me a second I'm going to pull it up here, and then we're going to talk about it for a little while okay all right this is going to sound really crazy, but I want you to kind of follow along with me here you're going to get what's called the adult function for what this form ultimately does is that this form is information that social security relies upon in order to determine whether the medical records substantiate or supports what you're saying the reason why I'm showing you this form is because first when you get this bad boy it's about I think about 10 pages long don't freak out when you get okay don't freak out it's a form you are the expert on you, you can tell them about what's going on with you don't have yourself losing them out of having a conniption you are in the best place to tell them about you so please and do that yeah this is important for you to understand so that this way you don't get totally you know bogged down or taken out of context here when you're looking at the form you don't read into what it says answer the questions plain and simple okay you know most of the early part is easy where you lay it all down so forth tell them about your case when it says you know information how do your element injuries or conditions limit your ability to work people remember the primary focus of Social Security is how does it limit your ability to work so when you're answering these questions phrase them in terms of explain them based on how your condition affects your ability to work now it's going to ask you little things describe what you do from the time you wake up until you go to bed now people you'll be surprised a number of times actually people will answer that with like one sentence, and I'm sitting there going you do so much during the course of the day how can you say would you do in one sentence add a separate sheet if you need to be descriptive remember this is something that I've said before there is no way for them to know what goes on in your house when you're like when you're there so explain it to them now do you take care of anyone such as this that's why husband children things yes and what do you do for them if you know you take care of these people be descriptive to...

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People Also Ask about

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.
Sign in to your my Social Security account to get your copy Creating a free my Social Security account takes less than 10 minutes, lets you download your SSA-1099 or SSA-1042S and gives you access to many other online services.
Form SSA-10. | Information You Need to Apply for Widow's, Widower's or Surviving Divorced Spouse's Benefits. Social Security Administration.
You can apply: Online; or. By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office. Call ahead to make an appointment.
You can use Form SS-5 as your social security status change form when making the transition to U.S. citizenship. If you had an SSN card as a green card holder, you can then submit another SSA form SS5 and use it as your social security citizenship update form.
SSA and its affiliated State disability determination services use Form SSA-827, "Authorization to Disclose Information to the Social Security Administration (SSA)" to obtain medical and other information needed to determine whether or not a claimant is disabled.

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SSA-3368-BK is a form used by the Social Security Administration (SSA) to gather information about an individual's disabilities and how those disabilities affect their ability to work.
Individuals applying for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits may be required to file SSA-3368-BK as part of their application process.
To fill out SSA-3368-BK, applicants should provide detailed information about their medical conditions, treatments, daily activities, and how their disabilities impact their work capabilities. It's important to answer all questions accurately and completely.
The purpose of SSA-3368-BK is to collect comprehensive information regarding an applicant's impairments and their impact on the person's ability to work, which is used in the evaluation process for disability benefits.
The SSA-3368-BK requires information about the individual's disabilities, medical treatment history, medications, daily functioning, work history, and how conditions limit their ability to perform work-related activities.
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