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  • Ssa-454-bk 2014

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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 .

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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.

  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.

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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.

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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
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
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
SSA-454-BK
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