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- Click ‘Get Form’ to open the DSHS 14-144A in the editor.
- Complete the heading by entering the claimant's name, Social Security Number (SSN), and disabling condition.
- Assist the client in filling out Part 1 - Information About Your Condition. Ensure dates reflect month and year accurately.
- In Part 2 - Information About Your Medical Records, identify all physicians and treatment sources thoroughly.
- Help the client complete Part 3 - Information About Your Activities, ensuring limitations are clearly stated.
- For Part 4 - Information About Your Education, note if any schooling was special education.
- In Part 5 - Information About the Work You Did, list types of businesses without naming individual employers.
- Finally, assist in completing Item 1 in Part 6 - Remarks; Items 2 through 6 should be filled out by you as the specialist.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2013 | 4.8 Satisfied (171 Votes) |
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