Get Disability Application

Filling out the Disability Application online can seem overwhelming, but with the right guidance, it becomes a straightforward process. This comprehensive guide will walk you through each section and field, ensuring you are prepared to submit your application accurately and efficiently.

Follow the steps to complete your online Disability Application.

1. Click ‘Get Form’ button to obtain the Disability Application and open it for completion.
2. Begin by entering your birth and citizenship information. If you were born outside the United States, provide the name of your birth country at the time of your birth along with your Permanent Resident Card number, if applicable.
3. Including your marriage and divorce details, list the names of your current spouse and any prior spouse, along with their dates of birth and Social Security Numbers. Make sure to provide the beginning and ending dates of each marriage, as well as the place of marriage.
4. Next, provide the names and birthdates of your children who meet the specified criteria regarding disability status or age. This includes children disabled before the age of 22 or those under 18 who are unmarried.
5. Then, fill out details regarding your U.S. military service, including type of duty, branch, and service period dates.
6. For employer details, list your current employer and those from the previous two years (not including self-employment). Include the name of the employer, employment start and end dates, and total earnings.
7. If you are self-employed, provide details on your business type and total net income for the current year and the prior two years.
8. Complete the direct deposit section, including whether your bank is domestic or international, account types, numbers, and other necessary banking information.
9. Include the name, address, and phone number of a contact person who is knowledgeable about your medical conditions and can assist with your claim.
10. Document your list of medical conditions and information about the healthcare professionals who treated you, including their names, addresses, phone numbers, and the relevant dates of examinations and treatments.
11. Provide information regarding your job history, detailing when your medical condition affected your ability to work, along with descriptions of up to five jobs held in the last 15 years, including dates of employment and duties performed.
12. Lastly, fill in your education and training by listing the highest grade or level of education completed, including any special job training or vocational schooling. Be sure to include dates of completion.
13. After ensuring that all sections are completed accurately, save your changes and proceed to download or print the Disability Application, if necessary. You can also share the completed form as required.

Start your Disability Application online today and take a step towards receiving the support you need.