SSA is the basic form all Social Security disability claimants must fill out to apply for Social Security disability benefits. You may fill it out yourself or, if it. Create a Form Ssa Bk in minutes using a step-by-step template. A Form SSA BK is known as an Adult Disability Report. DISABILITY REPORT – ADULT – Form SSABK. If you need help with this form, do as much of it as you can, and your interviewer will help you finish it.

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Question 2f asks about who is completing the report. If you applied in person, you have already done this.

Social Security Disability Form 3368: Adult Disability Report

If you are currently collecting SSI, you will need to answer the questions regarding self-support programs like Ticket to Work. Include all medical sources that have examined or treated the applicant for physical or mental conditions, even if they are not recent.

Disability Report SSA — Otherwise, fodm claim could experience delays at SSA. Below is a summary of the 11 sections of the SSA Post was not sent – check your email addresses!

List every medical, mental, emotional, learning and health condition that you have separately.

It is helpful to document who the phone number belongs to in this question. Hours per day, days per week, and rate of pay.


This information is used by the SSA to determine what kinds of jobs you may be qualified to do and whether you are capable of returning to any kind of work with which you have experience.

List the most recent job first and do not exclude jobs from the list just because earnings are minimal. The second section requires that you provide contact information for someone who is familiar with your disabling condition.

Mistakes on form SSA can delay the approval of your benefits, or even lead to a denial of benefits. Please let us know if any links on this page stop working. If this section applies, provide information about any vocational rehabilitation or supportive services the applicant has received.

This section is only for individuals who are already receiving SSI. Complete information is essential. For example, individuals aged 18 who have been receiving SSI as children and are undergoing a redetermination to qualify for SSI as an adult. Type of treatment received.

SSA Adult Disability Report | SOAR Works!

Leave Section 10 alone unless you are already collecting SSI. Note that symptoms of mental illness are included in this question. If you have had more than one job, skip the rest of the section and move on to Section 3638.

Simply provide the required information and double check to make sure that it is accurate. Secondary menu FAQ Blog. Section four contains some simple yes or no questions regarding work activity.


How to Fill Out an Application for Disability Benefits (SSA 16 BK and SSA BK) – How to Get On

If the applicant has cancer, include the type and stage, as the applicant may qualify for a Compassionate Allowance. List all medications—prescription or non-prescription, that you take on a regular basis.

Sometimes they do not do this interview now, but wait until after you are approved. If the applicant has someone other than the SOAR representative helping them with the application, you can enter multiple contacts in this section. Skip to main content. For example, an applicant may be able to work 10 hours per week, but his employer allows extra breaks and a flexible schedule when the applicant experiences anxiety.

List them whether you have been seen by a medical professional or not. You can apply for Social Security Disability online, on paper, in person, on the phone or through a lawyer. For applicants who stopped working, SSA will ask if they stopped because of their conditions or other reasons.

Tips and ideas for answering questions: Provide details about this training, even if the program was started but not completed.