Loading
Form preview
  • US Legal Forms
  • Form Library
  • Independent Agency Forms
  • Independent Agency SSA Forms
  • Ssa-454-bk 2014

Get Ssa-454-bk 2014

Ny purpose other than to make a decision on the named claimant’s claim. However, we may use the information for the administration of our programs including sharing information: 1. To comply with Federal laws requiring the release of information from our records (e.g., to the Government Accountability Office and Department of Veterans Affairs); 2. To facilitate statistical research, audit, or investigative activities necessary to assure the integrity and improvement of our programs. (e.g., to .

This website is not affiliated with any governmental entity

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the SSA-454-BK online

The SSA-454-BK, also known as the Continuing Disability Review Report, is an important document used by the Social Security Administration to assess an individual's ongoing disability status. This guide will provide you with clear, step-by-step instructions on how to fill out this form online, ensuring that the information submitted is accurate and comprehensive.

Follow the steps to successfully complete the SSA-454-BK online.

  1. Press the ‘Get Form’ button to obtain the SSA-454-BK and open it in the online editor.
  2. Begin with Section 1, which asks for information about the disabled person. Fill in the full name, Social Security number, mailing address, daytime phone number, and alternate phone number if applicable. Indicate if they can speak and understand English, and list any other names used in the past 12 months.
  3. Move to Section 2 and provide contact information for a friend or relative who can assist with the case. This section requires their name, relationship to the disabled person, mailing address, and daytime phone number.
  4. In Section 3, detail the medical conditions that limit the disabled person's ability to work. List each condition separately and provide the height and weight of the individual. Indicate if any assistive devices are used.
  5. Proceed to Section 4 regarding medical treatment. Indicate whether the disabled person has seen a healthcare professional in the past 12 months for any conditions, and list the names and addresses of healthcare facilities, dates of visits, and type of treatment received.
  6. In Section 5, specify any prescription or non-prescription medications currently being taken or that were taken in the past 12 months, including medicine name, reason for taking, and the prescribing doctor.
  7. Section 6 requires information on whether anyone else has medical information about the individual within the last year, such as from workers' compensation or social service agencies.
  8. Complete Section 7 regarding education and training. Indicate if any education or specialized training has occurred since the last disability decision.
  9. In Section 8, provide details about participation in vocational rehabilitation, employment, or other support services since the last disability decision.
  10. Section 9 asks about daily activities. Describe a typical day, hobbies, and any difficulties faced in performing daily tasks.
  11. Finally, if applicable, complete Section 10 regarding any work performed since the last medical disability decision.
  12. Use Section 11 for any additional remarks or information. Ensure to include the date when the report was completed before submitting the form.
  13. After completing the SSA-454-BK, save changes, download, print, or share the form as necessary.

Complete the SSA-454-BK online today to ensure a timely and accurate review of your disability status.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

DI 13005.040 - Completion of the Form SSA-454-BK...
Jan 17, 2017 - The SSA-454-BK (Continuing Disability Review Report) collects information...
Learn more
Federal Register/Vol. 69, No. 237/Friday, December...
Dec 10, 2004 - 416.989—0960–0072. We use form. SSA–454–BK to collect information...
Learn more
Cash Flow Analysis and Forecasting - Wiley Online...
build the knowledge in a pyramid form by adding blocks and layers in an ordered...
Learn more

Related links form

Medicaid EDCD Waiver Process Flow for Enrollment 2010 Medical Mutual L6854 2012 Medical Records Release/Request Form medpartners COB Form 2008

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Social Security Form SSA-3373-BK is a lengthy form that you fill out as a part of the process of applying for Social Security Disability benefits. ... If those medical records don't provide enough information to make a decision, then the SSA will typically ask you to fill out Form SSA-3373-BK.

This form is requested when SSA has information about work activity after the alleged onset date, which is the date provided on the SSA application forms of when the applicant alleges his/her disability became severe enough to prevent him/her from working at an SGA level.

In some cases, beneficiaries who initially received the short-form mailer will be flagged for a CDR. They will then receive the longer Continuing Disability Review Report, and have to undergo a full medical review. This process typically takes 5 to 6 months or longer.

# 1 Understand the Short Form. ... # 2 Try Not to Get Too Stressed. ... # 3 Make a Copy Before Starting. ... # 4 Answer Honestly. ... # 5 List Your Reason For Doctor's Visit. ... # 7 Advanced trick: Look Up Your Profile Code.

In some cases, beneficiaries who initially received the short-form mailer will be flagged for a CDR. They will then receive the longer Continuing Disability Review Report, and have to undergo a full medical review. This process typically takes 5 to 6 months or longer.

The SSA-454-BK (Continuing Disability Review Report) collects information necessary for a CDR and expedited reinstatement (EXR) case. The report records the most current information about the disabled individual's condition since the most recent favorable medical decision or the comparison point decision (CPD).

An SSA-1099 is a tax form we mail each year in January to people who receive Social Security benefits. It shows the total amount of benefits you received from Social Security in the previous year so you know how much Social Security income to report to IRS on your tax return.

# 1 Understand the Short Form. ... # 2 Try Not to Get Too Stressed. ... # 3 Make a Copy Before Starting. ... # 4 Answer Honestly. ... # 5 List Your Reason For Doctor's Visit. ... # 7 Advanced trick: Look Up Your Profile Code.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get SSA-454-BK
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Form Packages
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
Form Categories
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
Customer Service
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program
SSA-454-BK
This form is available in several versions.
Select the version you need from the drop-down list below.
2020 SSA-454-BK
Select form
  • 2020 SSA-454-BK
  • 2014 SSA-454-BK
  • 2010 SSA-454-BK
  • 2006 SSA-454-BK
  • 2003 SSA-454-BK
Select form