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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.
- Press the ‘Get Form’ button to obtain the SSA-454-BK and open it in the online editor.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Complete Section 7 regarding education and training. Indicate if any education or specialized training has occurred since the last disability decision.
- In Section 8, provide details about participation in vocational rehabilitation, employment, or other support services since the last disability decision.
- Section 9 asks about daily activities. Describe a typical day, hobbies, and any difficulties faced in performing daily tasks.
- Finally, if applicable, complete Section 10 regarding any work performed since the last medical disability decision.
- Use Section 11 for any additional remarks or information. Ensure to include the date when the report was completed before submitting the form.
- 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.
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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.
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