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Complete the Work Activity Report - Employee (Form SSA-821)
The Social Security Administration (SSA) may ask the applicant to complete an SSA-821 Work Activity Report if he/she continued to work after the alleged date of onset. This article provides additional information and tips for assisting applicants with this form.
6 tips for filling out the Work History Report Dont exaggerate or downplay your duties. Be concise. Give specific answers. Keep your answers consistent. Use the Function Report as your guide. Answer all questions. Section 1: Personal information. Section 2: Previous work.
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.
This form is requested when SSA has information about work activity after the alleged onset date, which is the date provided on the SSA application forms of when the applicant alleges his/her disability became severe enough to prevent him/her from working at an SGA level.
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6 tips for filling out the Work History Report Dont exaggerate or downplay your duties. Always answer questions truthfully, but avoid exaggerating or understating your job duties. Be concise. Give specific answers. Keep your answers consistent. Use the Function Report as your guide. Answer all questions.
This form is requested when SSA has information about work activity after the alleged onset date, which is the date provided on the SSA application forms of when the applicant alleges his/her disability became severe enough to prevent him/her from working at an SGA level.
You may also write to the Social Security Administration, P.O. Box 17775, Baltimore, Maryland, 21235-7775, USA. Please read the enclosed pamphlet, Working While Disabled
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.
How do I fill out Form SSA-821-BK? Personal information about the insured disabled person; Name of wage earner in their family; Type of benefits received; Information about the work activity and earnings; Employment data; Special work conditions (if any); Any special payments and work expenses;

how to fill out form ssa 821