SSA-8001-BK 2008 free printable template

Sex 4. Social Security Number Date of Marriage month day year Other Name s and Social Security Number s you your spouse/parents used a Your Other Name s including Maiden Name Your Other Social Security Number s b Spouse s/Mother s Other Name s including Maiden Name Spouse s/Mother s Other Social Security Number s c Father s Other Name s FORM SSA-8001-BK 01/2008 Destroy Prior Editions Father s Other Social Security Number s Page 1 10. SOCIAL SECURITY ADMINISTRATION Form Approved OMB No*...

How to fill out SSA-8001-BK

How to fill out SSA-8001-BK

1. Obtain the SSA-8001-BK form from the Social Security Administration (SSA) website or your local SSA office.
2. Fill out your personal information in Section 1, including your name, Social Security number, and contact details.
3. In Section 2, provide information about the individual who is seeking benefits, if different from the applicant.
4. Complete Sections 3 and 4 regarding work history and medical conditions that affect your ability to work.
5. Answer the questions in Section 5 about any previous applications for Social Security benefits.
6. Review your answers for accuracy and completeness.
7. Sign and date the form at the end, certifying that the information provided is true.
8. Submit the form online, by mail, or in person at your local SSA office.

Who needs SSA-8001-BK?

1. Individuals who are applying for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) and have disabilities.
2. Individuals seeking reconsideration of a previous SSA decision regarding their disability benefits.

Instructions and Help about SSA-8001-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...

People Also Ask about

What is the authorization to release medical records for Social Security?

Form SSA- 827 (.pdf) 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.

How to complete SSA 821 BK?

How do I fill out Form SSA-821-BK? Personal information about the insured disabled person; Name of wage earner in their family; Type of benefits received; Information about the work activity and earnings; Employment data; Special work conditions (if any); Any special payments and work expenses;

What is form SSA 8001 BK for?

SSA-8001: Application for Supplemental Security Income (SSI) (Deferred or Abbreviated) The SSA-8001 is an abbreviated version of the SSA-8000: Application for Supplemental Security Income.

What is the Social Security 5 year rule?

You must have worked and paid Social Security taxes in five of the last 10 years. • If you also get a pension from a job where you didn't pay Social Security taxes (e.g., a civil service or teacher's pension), your Social Security benefit might be reduced.

How much money can you have in the bank on Social Security retirement?

SSA limits the value of resources you own to no more than $2,000. The resource limit for a couple is only slightly more at $3,000. Resources are any assets that can be converted into cash, including bank accounts. However, some assets you own may not affect eligibility for the program.

What do you write in remarks on a disability application?

It should include details about what you were like, and what your life was like, before you became disabled. It should then describe how your disability and pain and limitations have changed the way you live, including how you interact with your family and friends, and how you have changed as a person.

For pdfFiller’s FAQs

How do I modify my SSA-8001-BK in Gmail?

The pdfFiller Gmail add-on lets you create, modify, fill out, and sign SSA-8001-BK and other documents directly in your email. Click here to get pdfFiller for Gmail. Eliminate tedious procedures and handle papers and eSignatures easily.

How can I edit SSA-8001-BK from Google Drive?

By integrating pdfFiller with Google Docs, you can streamline your document workflows and produce fillable forms that can be stored directly in Google Drive. Using the connection, you will be able to create, change, and eSign documents, including SSA-8001-BK, all without having to leave Google Drive. Add pdfFiller's features to Google Drive and you'll be able to handle your documents more effectively from any device with an internet connection.

How can I send SSA-8001-BK for eSignature?

When you're ready to share your SSA-8001-BK, you can swiftly email it to others and receive the eSigned document back. You may send your PDF through email, fax, text message, or USPS mail, or you can notarize it online. All of this may be done without ever leaving your account.

What is SSA-8001-BK?

SSA-8001-BK is a form used by individuals to apply for Social Security benefits, specifically the application for Supplemental Security Income (SSI) for disabled children.

Who is required to file SSA-8001-BK?

The SSA-8001-BK must be filed by individuals who are seeking SSI benefits for children under the age of 18 who have a medically determinable physical or mental impairment.

How to fill out SSA-8001-BK?

To fill out the SSA-8001-BK, applicants should provide personal information, details about the child's medical condition, household information, and income details. It is important to complete all required sections thoroughly and accurately.

What is the purpose of SSA-8001-BK?

The purpose of SSA-8001-BK is to collect necessary information to determine a child's eligibility for Supplemental Security Income (SSI) based on their disability status.

What information must be reported on SSA-8001-BK?

Information that must be reported on SSA-8001-BK includes the child's name, Social Security number, details of the disability, information about living arrangements, household composition, and financial resources.