CLICK IN, FILL OUT, HAND IN: Applications are required throughout the process of filing for Social Security Disability (ex. SSA: 501, 561, 827, 1695, 1696).  In addition, applications help us get to know you, so that we may better assist you throughout the Disability filing process.  

 

SOCIAL SECURITY DISABILITY

Disability Forms:

SSA: 199 - Vocational Rehabilitation Provider Claim

SSA: 545 - Plan for Achieving Self-Support

SSA: 546 - Worker's Compensation/Public Disability Questionnaire

SSA: 820 - Work Activity Report (Self-Employed Person)

SSA: 821 - Work Activity Report

SSA: 827 - Authorization to Disclose Information to the Social Security Association (SSA)

SSA: 1365 - State Agency Ticket Assignment Form Ticket To Work and Self Sufficiency Program

SSA: 1695 - ID/Potential Fee

SSA: 1696 - Appointment of Representation

SSA: 3368 - Disability Report Adult

SSA: 3369 - Work History Report

SSA: 3373 - Function Report (Adult)

SSA: 3375 - Function Report (Child Birth to 1st Birthday)

SSA: 3380 - Function Report (Adult-Third Party Form)

SSA: 3381 - Questionnaire for Children Claiming SSI Benefits

SSA: 5665 - Teacher Questionnaire

 

Reconsideration/Hearing/Appeals Forms:



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