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The Disability Report - Adult (Form SSA-3368-BK) is intended to gather information about a person's disabilities and limitations, but it does not serve as an application for benefits.
It is important to fill out the form completely and clearly, as incomplete or unclear answers can delay the processing of a disability claim.
Applicants should provide any available medical records and prescription copies to support their claims, which can be submitted with the form or brought to the interview.
If the applicant cannot speak or understand English, Social Security will provide an interpreter free of charge during the interview process.
The information provided on this form may be disclosed to third parties for verifying eligibility for benefits or conducting statistical research related to Social Security programs.
Social Security may use matching programs that compare its records with those of other government agencies to ensure accurate benefit determinations.
It is estimated that completing this form will take approximately 60 minutes, including reading instructions and gathering necessary information.
