Identify source statement 2026

1. Click ‘Get Form’ to open the identify source statement in the editor.
2. Begin by entering the individual's name and social security number in the designated fields at the top of the form.
3. Carefully read the instructions provided, which outline how to assess the individual's ability to perform work-related activities on a sustained basis.
4. For each activity listed, indicate the level of limitation by checking the appropriate box (None, Mild, Moderate, Marked, Extreme) based on your professional opinion.
5. In the sections that ask for supporting factors for your assessment, provide detailed explanations that justify your ratings.
6. Complete any additional questions regarding past limitations and whether substance abuse affects current capabilities.
7. Finally, sign and date the form, ensuring that your name, title, and medical specialty are printed legibly.

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