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Get Form Ssa 3368 Bk 12 2012
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How to fill out the Form Ssa 3368 Bk 12 2012 online
This guide provides clear and comprehensive instructions for filling out the Form Ssa 3368 Bk 12 2012 online. By following the steps outlined here, users can effectively communicate their medical conditions and work history to facilitate their disability application process.
Follow the steps to complete the form accurately and efficiently.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin with Section 2, where you will describe your medical conditions. List all illnesses, injuries, or conditions affecting your ability to work. Include related medical issues and rank them in order of impact.
- In Section 2B, list all symptoms and functional limitations stemming from your conditions. Provide comprehensive details, even if it exceeds available space, continue in Section 9 Remarks.
- For Section 2E, indicate when you became unable to work due to your medical conditions. Use the last sustained work date instead of the last date worked, if applicable.
- In Sections 2H and 2J, detail how your condition affected your ability to work and the reason for stopping work. Be candid about performance issues, absences, or any employer actions.
- Move to Section 3 to provide information about your past work. Detail physical demands of your jobs, including any lifting, carrying, or specific tasks impacting your health.
- Finally, use Section 9 for additional remarks. Include any important information that didn’t fit elsewhere, and consider attaching validation from colleagues or friends if available.
- Once you have completed all sections, save your changes. You can also download, print, or share the form as needed.
Start filling out your Form Ssa 3368 Bk 12 2012 online today to ensure a thorough application process.
Individuals use Form SSA-795 to make signed statements relating to claims for Social Security benefits or Supplemental Security Income (SSI) payments under 20 CFR 404.702 and 416.570 of the Code of Federal Regulations.
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