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Child disability report form

Child disability report 2026

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4.3 out of 5

149 votes

The document is a Disability Report for children (Form SSA-3820-BK) used by the Social Security Administration to collect information regarding a child's disabilities and medical history. It provides instructions on how to complete the form, emphasizes the importance of providing accurate information, and outlines what records and details are needed for the disability claim process. The form includes sections for personal information about the child, medical records, medications, educational background, and any relevant tests or treatments received.

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Click ‘Get Form’ to open the child disability report in the editor.
Begin with Section 1, providing information about the child. Fill in the child's name, Social Security number, and your relationship to the child. Ensure all fields are completed; if unsure, write 'don't know' or 'none'.
Move to Section 2, where you will provide contact information for any legal guardians or adults involved in the child's care. Include names, addresses, and phone numbers.
In Section 3, detail the child's disabling conditions. Be specific about when the child became disabled and any symptoms experienced.
Proceed to Section 4 to list medical records. Document each doctor or therapist's name and contact details along with treatment history.
Complete Sections 5 through 9 by detailing medications, tests, education history, and any work experience if applicable.
Finally, use Section 10 for any additional remarks or information that may assist in processing the report.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (88 Votes)
2017	4.3 Satisfied (149 Votes)
2010	4.4 Satisfied (557 Votes)
2008	4 Satisfied (42 Votes)

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