) Sit? Crawl? (Move on hands & knees.) Climb? Handle, grab, or grasp big objects? Stoop? (Bend down & forward at waist.) Reach? Write, type or handle small objects? Lifting and Carrying (Explain what you lifted, how far you carried it, and how often you did this.) Check the heaviest weight you lifted: u Less than 10 lbs u 10 lbs u 20 lbs u 50 lbs u 100 lbs or more u Other Check weight you frequently lifted: (By frequently, we mean from 1/3 to 2/3 of the workday.) u Less than 10 lbs u 10 lbs .

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How to fill out the SSA-3369-BK online

The SSA-3369-BK, also known as the Work History Report, is an essential form for individuals seeking Social Security benefits due to disabilities. This guide provides a step-by-step approach to help you successfully complete this form online.

Follow the steps to fill out the SSA-3369-BK efficiently.

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. In Section 1, provide information about the disabled person. Enter the full name, Social Security number, and daytime telephone number. Ensure all the details are accurate, as this information is crucial for identification.
  3. Move to Section 2, where you will list all jobs held in the 15 years before your disability. Include the job title, type of business, and the dates worked. Ensure that you cover each position accurately.
  4. For each job listed, provide more specific details in the follow-up questions. Estimate your rate of pay, hours worked each day, and duties performed during the job. These details help to illustrate your work capacity.
  5. Indicate the physical demands of each job. You will be asked about how many hours you performed various tasks, like walking, standing, or lifting. Complete these fields with as much detail as possible to provide a clear picture of your responsibilities.
  6. In the 'Lifting and Carrying' section, describe what you frequently lifted and how heavy those items were. This helps assess the physical impact of your former job roles.
  7. If applicable, answer questions regarding any supervisory roles held during your employment. Provide the number of people supervised and your involvement in hiring or firing.
  8. After all sections are completed, review the form carefully to ensure all information is correct and complete.
  9. Finally, once you are satisfied with your entries, save your changes, and choose to download, print, or share the form as needed.

Complete the SSA-3369-BK form online today to streamline your application process.

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