Get Ssa-3368-bk 2012

Completing the SSA-3368-BK form, also known as the Disability Report - Adult, is an essential step in the disability claims process. This guide provides clear and supportive instructions to help users accurately fill out the form online, ensuring a smoother experience in requesting disability benefits.

Follow the steps to successfully complete the SSA-3368-BK form.

1. Click the ‘Get Form’ button to access the SSA-3368-BK form in the online editor.
2. Begin by filling out Section 1, which includes personal information about the disabled person. Make sure to provide their full name, Social Security number, mailing address, email address, and daytime phone numbers.
3. In Section 2, provide contact information for someone who can assist with the claim. This could be a friend or family member. Include their name, relationship, and contact details.
4. Section 3 requires you to list all medical conditions that limit the person's ability to work. Be thorough and specific about each condition, noting if they experience pain or other symptoms.
5. In Section 4, indicate current or past employment status. Provide dates when the individual stopped working or any changes in their job due to their conditions.
6. Fill out Section 5 to reflect the highest level of education completed, including any specialized training or vocational school.
7. Section 6 asks for job history over the last 15 years. List jobs, responsibilities, and any adaptations made due to medical conditions.
8. In Section 7, list any medications taken, including prescription and non-prescription drugs, specifying the reason for each.
9. Section 8 focuses on medical treatment. Provide information regarding healthcare providers, appointments, and any tests conducted in relation to the disabilities.
10. Section 9 inquires about other sources of medical information regarding the individual's condition. Fill in details for any organizations involved, such as insurance or rehabilitation services.
11. Complete Section 10 only if receiving Supplemental Security Income. Detail involvement with vocational rehabilitation or other support services.
12. Wrap up with Section 11, where you can add any additional remarks or information necessary. Be sure to check for clarity and completeness.
13. Review the completed form for accuracy. Once satisfied, save changes, download the document, and print or share it as required.

Start completing your SSA-3368-BK form online now to ensure your claim is processed efficiently.