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The document is a Medical Source Statement from the Social Security Administration, designed to assess an individual's ability to perform work-related physical activities. It includes sections for evaluating lifting, carrying, sitting, standing, walking, use of hands and feet, postural activities, hearing and vision impairments, environmental limitations, and other work-related activities affected by impairments. The form requires medical professionals to provide their opinions on the individual's capabilities based on clinical findings and to indicate any limitations that may affect their ability to work.

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Versions	Form popularity	Fillable & printable
2009	4.8 Satisfied (92 Votes)
2006	4.4 Satisfied (365 Votes)
1999	4.4 Satisfied (68 Votes)

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What is a SSA 3368 disability report?

A. Introduction 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.

What is the easiest way to apply for Social Security?

You can apply: Online; or. By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office. ... If you do not live in the U.S. or one of its territories, you can also contact your nearest U.S. Social Security office, U.S. Embassy or consulate.

What is Social Security form SSA 7028?

Form SSA-7028 Instructions Form SSA-7028 is filed for the employees or students who have not been issued a social security card. This form is also necessary to validate the SSN of an individual if their current SSN is incorrect or missing.

ssa medical source statement

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What is form SSA 1724 F4 used for?

Form SSA-1724 | Claim For Amounts Due In The Case Of Deceased Beneficiary. A deceased beneficiary may have been due a Social Security payment and/or a Medicare Premium refund prior to or at the time of death.

How do I get a SSA 2459 form?

Go to your local Social Security Administration office and ask for a BPQY, form number SSA-2459 (See SAMPLE attached). Call the Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m. and ask them to mail your BPQY to you.

Can I fill out Social Security forms online?

You can apply: Online; or. By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office.

What is a 3288 form?

Social Security Form SSA-3288 is a form that you can sign to give your consent to the SSA to release information about you to a third party. The information you want to release includes, but isn't limited to: Your Social Security Number (you could also accomplish this with Form SSA-89)

Can you apply for Social Security on the Internet?

Our online application is a convenient way to apply on your own schedule, without an appointment. You can also apply by phone or by appointment at a Social Security office.