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All forms are FREE. Not all forms are listed. If you can't find the form you need, or you need help completing a form, please call us at 1-800-772-1213 (TTY 1-800-325-0778) or contact your local Social Security office and we will help you.
In most cases, you can take or mail this signed application with your documents to any Social Security office. Any documents you mail to us will be returned to you.
About the SSA-455 The Disability Update Report is sent to beneficiaries who Social Security determined have a low probability of medical improvement when a previous full CDR was done.
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.
The SSA-3368: Adult Disability Report provides information about the applicant and can be completed online after completing the Online Disability Benefit Application.
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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.
The Social Security Administration (SSA) needs to determine both that your injuries or conditions are actively preventing you from working and that they'll continue to do so for some time. To determine this, the SSA needs a lot of information from you. One way you provide this information is through Form SSA-3373-BK.
1. General information for recording statements on the SSA-795. Use an SSA-795 whenever a signed statement is required or desirable, except when we request some other form or questionnaire or we can readily adapt for the statement.