Ssa 3033 form-2025

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  1. Click ‘Get Form’ to open the SSA 3033 form in the editor.
  2. Begin by entering the date, claim number, and social security number at the top of the form. This information is crucial for identifying the case.
  3. In Section 1, provide details about the employee's work activity. Answer questions regarding their ability to complete job duties and report for work as scheduled. Use checkboxes for clarity.
  4. Indicate any special assistance provided to the employee by checking relevant options. This helps assess if a subsidy exists.
  5. In Section 2, answer questions related to unsuccessful work attempts. Provide honest responses to ensure accurate evaluation.
  6. Finally, have the direct supervisor sign and date Section 3. Ensure all fields are completed before submitting.

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Social Security uses the Work Activity Report form to learn more about the work activity of a disability applicant or beneficiary. If you are applying for disability benefits, the information you provide will help us decide if you can receive benefits.
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-3033, Work Activity Questionnaire (used to obtain more detailed information from the employer when SSA learns through completed Form 821-BK or other information that a subsidy or special condition may exist).

People also ask

0:48 6:49 How to Fill Out the Social Security Work History Report Form (SSA ... YouTube Start of suggested clip End of suggested clip So what you do is you list the job titles that you've had in the last. 15 years before the onsetMoreSo what you do is you list the job titles that you've had in the last. 15 years before the onset date of disability. And keep it simple don't use fancy terms like managers. And supervisors.
SSA and its affiliated State disability determination services use Form SSA-827, "Authorization to Disclose Information to the Social Security Administration (SSA)" to obtain medical and other information needed to determine whether or not a claimant is disabled.
How to Answer Disability Questionnaires Write clearly and legibly. Avoid erasures as much as possible. ... Do not leave any section of the form blank (unless otherwise specified). ... Give consistent answers. ... Answer the questions truthfully. ... Follow the instructions on the form.
A "subsidy" is the extra amount of wages an employer pays an impaired individual for services over the reasonable value of the actual services performed. We deduct the value of subsidies from earnings when we make an SGA decision.
0:48 6:49 How to Fill Out the Social Security Work History Report Form (SSA ... YouTube Start of suggested clip End of suggested clip So what you do is you list the job titles that you've had in the last. 15 years before the onsetMoreSo what you do is you list the job titles that you've had in the last. 15 years before the onset date of disability. And keep it simple don't use fancy terms like managers. And supervisors.

social security subsidy questionnaire