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Form approved omb 0960 0578 2009

Form approved omb 0960 0578 2009-2025

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The document is a Work History Report from the Social Security Administration, specifically designed for individuals applying for disability benefits. It collects detailed information about the applicant's work history over the past 15 years, including job titles, types of businesses, dates of employment, duties performed, and physical demands of each job. The report aims to assess the impact of the applicant's disabilities on their ability to work.

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Versions	Form popularity	Fillable & printable
2014	4.9 Satisfied (393 Votes)
2011	4.2 Satisfied (67 Votes)
2009	4.2 Satisfied (36 Votes)
2008	4 Satisfied (34 Votes)
2005	4 Satisfied (28 Votes)
2003	4 Satisfied (27 Votes)

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