SSA-16: Application for Social Security Disability Insurance 2025

1. Click ‘Get Form’ to open the SSA-16 in the editor.
2. Begin by entering your full name in the designated fields. Ensure accuracy as this will be used for identification.
3. Input your Social Security Number and select your gender. If English is not your preferred language, specify it in the provided section.
4. Fill in your date of birth and place of birth. Answer questions regarding public or religious records of your birth.
5. Indicate your citizenship status and provide any previous names or Social Security numbers if applicable.
6. Detail your work history, including employers from the past two years, and indicate if you have filed for other benefits.
7. Review all entries for accuracy before signing and submitting the form electronically through our platform.

Start filling out your SSA-16 today using our platform for a seamless experience!