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  • Ssa-3369-bk 2008

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Ion you give us when we match records by computer. Matching programs compare our records with those of other Federal, State, or local government agencies. Many agencies may use matching programs to find or prove that a person qualifies for benefits paid by the Federal government. The law allows us to do this even if you do not agree to it. Explanations about these and other reasons why information you provide us may be used or given out are available in Social Security offices. Paperwork Reducti.

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How to fill out the SSA-3369-BK online

Filling out the SSA-3369-BK form, also known as the Work History Report, is an essential step in the disability claims process. This guide provides clear, step-by-step instructions to help individuals accurately complete the form online, ensuring that all necessary information is provided for a timely decision on disability claims.

Follow the steps to successfully complete your SSA-3369-BK form.

  1. Press the ‘Get Form’ button to download the SSA-3369-BK form and open it in your online editor.
  2. Begin by entering the name of the person applying for disability benefits in Section 1. Ensure you provide the full name, including the first name, middle initial, and last name.
  3. In Section 1B, input the Social Security number of the disabled person. This is essential for the processing of the claim.
  4. Provide a daytime telephone number in Section 1C where you can be reached. If unavailable, include a number where a message can be left.
  5. Move to Section 2, where you will list all jobs held in the 15 years prior to becoming unable to work. Be sure to detail each job title, type of business, and the dates worked.
  6. For each job listed, describe your daily tasks, skills used, and any machines or equipment operated. Fill out the rate of pay, frequency of pay, hours worked per day, and days worked per week.
  7. Detail any physical requirements of each job, such as walking, sitting, standing, lifting, and carrying. Indicate the heaviest and frequently lifted weights.
  8. Complete Sections for each job describing supervision responsibilities if applicable, including how many people were supervised and duties performed.
  9. If additional space is needed for any responses, use the remarks section in Section 3. Refer to the corresponding page numbers when adding information.
  10. Lastly, complete the information at the bottom of Section 3, providing your name, address, and optionally, an email address. Make sure to check the box if you are the disabled person.
  11. Save your changes and ensure to download, print, or share the completed form as needed.

Complete your SSA-3369-BK form online today to ensure your disability claim is processed effectively.

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After a Conference which lasted throughout July, the bill was finally passed and sent to President Roosevelt for his signature. The Social Security Act was signed into law by President Roosevelt on August 14, 1935.

Name and address. Social security claim number. Name of child beneficiary to whom this statement applies. Date child attains age 18. Current school attendance. ... Last school year. ... Signature of student. ... Certification by School Official.

What Is Form SSA-3373-BK? ... 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.

Check With Your State Tax Department or Unemployment Office. ... Request Employment History from Social Security. ... Use Your Tax Returns. ... Request Transcripts of Your Tax Returns. ... Check With Prior Employers.

0:29 7:51 Suggested clip How to Fill Out the Work History Report Form | Cleveland, Ohio ...YouTubeStart of suggested clipEnd of suggested clip How to Fill Out the Work History Report Form | Cleveland, Ohio ...

Accessing past tax records, W2 or 1099 forms, or paystubs. Submitting a Request for Social Security Earnings Information Form (requires fee) with the Social Security Administration. Contacting previous employers' human resources departments.

The Adult Function Report It is also sent during Continuing Disability Reviews for people already approved. Social Security uses this form to learn a little more about how your illness limits you and to see if what you write about your limitations is similar to what your doctor writes.

If you're 18 years old or older, you can create a my Social Security account. At www.socialsecurity.gov/ myaccount, you can get your Social Security Statement to check your earnings record, and see estimates of future retirement, disability, and survivor benefits.

Social Security records All of your employment history should be tied to that number. Social Security records will also report the percentage of income you paid to the Social Security benefits program. Visit the Social Security Administration's website and search for Form 7050.

The most basic fact of the SSA disability process is simply that most cases will be denied, often because there wasn't enough medical evidence to prove the case, forcing claimants to go through the disability appeal process. Disability claimants should never resign themselves to giving up on an SSDI or SSI claim.

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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-3369-BK
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