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Rity Number) (Wage Earner and Social Security Number) (Leave blank if same as claimant) The last time we brought your case upto-date was: B. To be completed by the claimant PLEASE PRINT Please Answer the Following Questions: (1) Have you been treated or examined by a doctor (other than a doctor at a hospital) since the above date? --------------------------------------------------------------------------------- Yes No (If yes, please list the names, addresses and telephone numbers of doc.

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How to fill out the Omb 0960 0292 online

Filling out the Omb 0960 0292 form is an important step in providing the necessary information regarding your recent medical treatment for Social Security purposes. This guide will walk you through each section of the form to ensure you complete it accurately and efficiently.

Follow the steps to accurately complete the form online.

  1. Press the 'Get Form' button to obtain the form and open it in the online editor.
  2. In section A, ensure that the claimant’s information and Social Security Number are entered clearly. If the wage earner differs from the claimant, provide their details as well.
  3. In section B, begin by printing the form. Answer the question regarding your treatment by a doctor since the last update. If yes, list the names, addresses, and telephone numbers of the doctors, along with the dates of your treatment.
  4. Provide information about what the doctors have communicated regarding your condition. This will assist the administrative law judge in understanding your medical history.
  5. Answer whether you have been hospitalized since your last update. If yes, include the name and address of the hospital, as well as the reasons for your hospitalization and the treatment you received.
  6. If more space is needed, feel free to use additional sheets. Make sure to review all entries for clarity and accuracy.
  7. After completing the form, save your changes. You may then download a copy, print it for your records, or share it as needed for submission.

Complete your documents online today to ensure your medical treatment is properly considered.

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You can upload documents by using the Send Response for Individual Case link on the Electronic Records Express Home page. The upload function is also available while accessing a claimant's electronic folder through the Access Claimant's Electronic Folder link.

If you mail any documents to us, you must include the Social Security number so that we can match them with the correct application. Do not write anything on the original documents. Please write the Social Security number on a separate sheet of paper and include it in the mailing envelope along with the documents.

Write a letter to the Social Security offices. In the letter, include your Social Security Number and your claim. The address of the office is: Social Security Administration, Office of Public Inquiries, 1100 West High Rise, 6401 Security Blvd., Baltimore, MD 21235.

A notice will be sent if your benefit amount or eligibility changes and/or terminates. For example, if you receive Supplemental Security Income (SSI) and changes in your living arrangement, other income, or resources affect your benefit amount, you will receive a notice each time your benefit amount changes.

The form asks you whether or not you've been treated by a doctor (outside of a hospital) since your last review date. If yes, include the doctors' names, addresses, telephone numbers, and dates of treatment. Then detail what the doctor's have shared with you about your condition and any new findings.

If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you.

If you are unable to check your status online, you can call us at 1-800-772-1213 (TTY 1-800-325-0778), Monday through Friday, 8:00 am – 7:00 pm; or contact your local Social Security office.

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