SSA-3368-BK 2012 free printable template

Other records. 01-2010 edition until exhausted 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...

How to fill out SSA-3368-BK

How to fill out SSA-3368-BK

1. Gather necessary personal information: You will need your name, Social Security number, and contact details.
2. Provide medical history: Include information about your medical conditions, treatments, and medications.
3. Detail work history: List all jobs you've held, including the job title, employer, dates of employment, and a description of duties.
4. Include education: Specify your highest level of education and any vocational training.
5. Describe daily activities: Explain how your condition affects your daily life and ability to work.
6. Sign and date the form: Make sure to sign the document confirming that the information provided is accurate.

Who needs SSA-3368-BK?

1. Individuals applying for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) and need to provide detailed information about their disability and work history.

• Who needs a Social Security Report adult form?
• What is the Social Security Report adult form?
• Is Social Security Report adult form accompanied by other forms?
• • When is Social Security Report adult form due?
  • How do I fill out Social Security Report adult form?
  • Where do I send Social Security Report adult form?

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...

People Also Ask about

How do you pass a continuing disability review?

How to Pass a Continuing Disability Review (7 Easy Ways) Hire an Experienced Social Security Disability Attorney. Follow Your Medical Treatment Protocol. Maintain Communication with Your Doctors. Keep Copies of Accurate and Complete Medical Documentation. Submit All New Medical Evidence Before the Review.

How do I fill out a disability update report?

Ten Tips and Tricks for Filling Out a Disability Update Report (SSA-455-BK) # 1 – Understand the Short Form. # 2 – Try Not to Get Too Stressed. # 3 – Make a Copy Before Starting. # 4 – Answer Honestly. # 5 – List Your Reason For Doctor's Visit. # 7 – Advanced trick: Look Up Your Profile Code.

What is the SSA medical form 3368?

The Disability Determination Services (DDS) uses the information on the 3368 to develop medical and other evidence that can be used to establish the correct onset date. The 3368 is also used to assess the alleged disability in conjunction with nonmedical factors, such as education and work history.

Can I fill out SSA 3368 online?

The SSA-3368: Adult Disability Report provides information about the applicant and can be completed online after completing the Online Disability Benefit Application.

What are the odds of disability getting cut off if you receive a CDR?

If you get a CDR request, do not panic. Most people are not awarded Social Security Disability Insurance (SSDI) benefits or SSI benefits unless they have already made a compelling case that they are eligible for such benefits. About 90 percent of the people who get a CDR review continue to receive benefits.

What is the SSA disability update form?

Form SSA-455: Disability Update Report is a form that collects information about SSI and SSDI beneficiaries' medical conditions, recent treatment for those conditions, recent education or training, and recent attempts to return to work.

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What is SSA-3368-BK?

SSA-3368-BK is a form used by the Social Security Administration (SSA) to collect information about an individual's work history, physical and mental limitations, and daily activities for the purpose of determining eligibility for Social Security Disability benefits.

Who is required to file SSA-3368-BK?

Individuals who are applying for Social Security Disability benefits or appealing a denial of such benefits are required to file SSA-3368-BK.

How to fill out SSA-3368-BK?

To fill out SSA-3368-BK, applicants should provide personal information, details about their medical conditions, symptoms, treatment history, work history, and how their disability affects their daily life. It is important to answer all questions thoroughly and accurately.

What is the purpose of SSA-3368-BK?

The purpose of SSA-3368-BK is to gather comprehensive information about an individual's medical conditions and functional capabilities to assess whether they meet the criteria for Social Security Disability benefits.

What information must be reported on SSA-3368-BK?

Information that must be reported on SSA-3368-BK includes personal identification details, medical diagnoses, treatment received, limitations experienced in work and daily activities, and the impact of these factors on the ability to work.