WHAT FORMS DO I NEED TO APPLY FOR SOCIAL SECURITY DISABILITY? An injury or illness has stopped you from working. Your financial well-being is at risk. Monthly checks from Social Security Disability would be a lifeline. But first you have to fill out a lot of forms. Read below for a list of key forms you’ll need.
FORMS FOR APPLYING THE DISABILITY REPORT-ADULT (FORM SSA-3368)
THE WORK HISTORY REPORT (FORM SSA-3369)
Use this form to explain your health problems and begin your application.
Use this form to describe your last 15 years of jobs.
THE WORKERS’ COMPENSATION/PUBLIC DISABILITY BENEFIT QUESTIONNAIRE (FORM SSA-546) Use this form to list any workers’ comp benefits you’re getting.
FORMS FOR APPEALING A BENEFITS DENIAL THE DISABILITY REPORT-APPEAL (FORM SSA-3441) You need this form to start your appeal.
THE CLAIMANT’S WORK BACKGROUND FORM (HA-4633) You need this form to update Social Security on your work history.
THE CLAIMANT’S MEDICATIONS FORM (HA-4632) You need this form to show the prescriptions you’re taking.
THE HEARING REQUEST FORM (HA-4486) You need this form to ask for a hearing with a Social Security judge.
GET HELP WITH SOCIAL SECURITY DISABILITY FORMS To win benefits, you must fill out Social Security’s forms in a thorough, accurate, timely way. It’s overwhelming. But at Angelina Valle & Associates, we know what information you need—and we help you complete the forms.
CALL US TODAY! 408-881-0200 www.valle-law.com