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Ew now. Question 6.a Have You Been Hospitalized Or Had Surgery? Place an “X” in the box below “NO” if you have not been hospitalized or not had surgery during the report period. If you have been hospitalized or had surgery during the report period, then place an “X” in the box below “YES” and answer question 6.b. If You Need Help To Answer The Report It is important that information you give us is accurate. We have tried to make report questions easy to understand and answer.

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How to fill out the SSA-455-OCR-SM online

The SSA-455-OCR-SM is a disability update report essential for individuals receiving Social Security benefits. This guide provides clear, step-by-step instructions on completing the form online, ensuring that users can easily navigate through each section and provide the necessary information.

Follow the steps to complete the SSA-455-OCR-SM accurately

  1. Press the ‘Get Form’ button to access the SSA-455-OCR-SM document in the online editor.
  2. Begin by reading the information at the top of the form, including the report period, which indicates the timeframe for which you need to provide information.
  3. In question 1.a., indicate whether you have worked during the report period by placing an 'X' in the appropriate box (yes or no). Proceed to question 1.b. if you answered yes.
  4. In question 1.b., fill out your recent work details, including the start and end months and years of your employment, along with your gross monthly earnings.
  5. Question 2 requires you to specify if you have attended any school or work training programs. Mark the appropriate box (yes or no).
  6. In question 3, answer whether you have discussed your ability to work with your doctor and select the appropriate response by marking one box.
  7. Proceed to question 4 and indicate your current health status compared to the beginning of the report period by marking one box.
  8. Question 5.a. asks if you have sought treatment. Mark 'yes' or 'no' accordingly. If yes, complete question 5.b. detailing the reason for your most recent visit.
  9. Fill out the date of your treatment in the specified format (month and year). Repeat for subsequent visits, if necessary.
  10. In question 6.a., indicate whether you have been hospitalized or had surgery. Mark 'yes' or 'no' and complete question 6.b. if applicable.
  11. Use the remarks section to provide any additional information that may assist in the review of your case.
  12. Finally, review your completed form, sign it, write in the date, and provide a telephone number where you can be reached during the day.
  13. Once you have filled out all sections, save your changes, then download, print, or share the form as needed.

Take the time to complete the SSA-455-OCR-SM form online to ensure your disability benefits are reviewed and maintained.

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SSA-455-OCR-SM
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