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SOCIAL SECURITY ADMINISTRATIONWORK HISTORY Reporter Approved OMB No. 09600578For SSA Use Only Do not write in this box. SECTION 1 INFORMATION ABOUT THE DISABLED PERSON A. NAME (First, Middle Initial,
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How to fill out form ssa-3369 work history

01
Gather all relevant information about your work history such as job titles, dates of employment, and duties performed.
02
Start by filling out your personal information at the top of the form, including your name, social security number, and contact information.
03
Fill out Section A with detailed information about your current job or most recent employment, including the dates worked and the duties performed.
04
Continue to fill out Sections B and C with information about previous jobs, working backward in chronological order.
05
Be sure to provide as much detail as possible about each job, including the name of the employer, the type of business, and any relevant job duties.
06
Review the completed form for accuracy and completeness before submitting it.

Who needs form ssa-3369 work history?

01
Individuals who are applying for Social Security disability benefits or supplemental security income may need to fill out form SSA-3369 work history to provide detailed information about their employment history.
02
Similarly, those assisting someone with their disability benefits application, such as a representative or caregiver, may also need to complete form SSA-3369 work history on behalf of the applicant.
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Form SSA-3369 is used by the Social Security Administration to collect detailed work history information from individuals applying for Social Security disability benefits.
Individuals applying for Social Security disability benefits are required to file Form SSA-3369 to provide information about their past work experience.
To fill out Form SSA-3369, applicants should provide information about their employment history, including job titles, duties, employment dates, and reasons for leaving each job.
The purpose of Form SSA-3369 is to gather comprehensive work history to assess the individual's ability to perform work-related activities, which is crucial for determining disability eligibility.
Form SSA-3369 requires reporting employment details such as job titles, duties, dates of employment, and the reasons for ending employment for each job in the past 15 years.
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