Get Ssa-3369-bk 2014-2026

The SSA-3369-BK, also known as the Work History Report, is a crucial form used to gather information about your work history as part of your disability claim. This guide provides clear steps on how to fill out this form online, ensuring you provide the necessary details accurately.

Follow the steps to fill out the SSA-3369-BK online effectively.

1. Press the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering your name, social security number, and daytime telephone number in Section 1.
3. Proceed to Section 2. List all jobs you have held in the past 15 years before your disabilities began. Include the job title, type of business, and dates worked.
4. For each job listed, you'll need to provide additional details. In the job description section, clearly describe your daily tasks.
5. Indicate whether you used machines, tools, or technical knowledge during the job, and how many hours you spent on various tasks each day.
6. Specify the lifting and carrying requirements of each job, including what you lifted and how often this occurred.
7. Complete the supervisory questions if you managed others during your employment, including details about your role.
8. Continue through the form for each job, repeating steps 4 through 7 as needed for all jobs listed.
9. Use the Remarks section on Page 8 to provide any additional information or explanations as necessary.
10. Finally, ensure you fill in your contact information, including your name and address if another person is completing the form for you.
11. Once completed, you can save changes, download, print, or share the form as required.

Complete your SSA-3369-BK form online today to help streamline your disability claim process.