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Get Ssa-3381 2009-2025
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How to fill out the SSA-3381 online
The SSA-3381 form, also known as the Medical and Job Worksheet for Adults, is an essential tool in the application process for Social Security disability benefits. This guide provides detailed, step-by-step instructions for filling out the form online, helping users to prepare effectively for their application.
Follow the steps to complete the SSA-3381 online
- Click ‘Get Form’ button to access the form and open it for filling out.
- In section A, list all the physical and mental conditions that limit your ability to work, including any emotional or learning problems. Make sure to detail conditions like cancer by including the type and stage.
- In section B, indicate when you stopped working if you are currently not employed.
- In section C, provide your height without shoes, noting both feet and inches.
- In section D, list any medical sources you have visited for your conditions, including the names, addresses, phone numbers, admission dates, and discharge dates of those medical professionals or facilities.
- In section E, document any medicines you are taking, explain why you take them, and include the prescribing doctor’s name.
- In section F, list any medical tests you have had or are scheduled to have, including the name of the test, the provider who referred you, and the dates of the tests.
- In section G, provide details of your job history for the past 15 years, listing up to five jobs. Include job titles, types of business, dates worked (from and to), hours worked per day, rate of pay, and frequency.
- Once you have filled out all sections of the form, review your entries for accuracy and completeness. Finally, save your changes, download, print, or share the completed form as needed.
Start filling out your SSA-3381 online today for a smoother application process.
Many individuals are eligible for benefits under both the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) programs at the same time. We use the term concurrent when individuals are eligible for benefits under both programs.
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