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  • Ssa-3369-bk 2009

Get Ssa-3369-bk 2009

) 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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© 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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