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WORK HISTORY REPORT-Form SSA-3369-BK. The information that you give us on this form will be used by the office that makes the disability decision on your .

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How to fill out the Work History Report online

Completing the Work History Report online is an important step in the disability application process. This guide provides you with detailed instructions to help you fill out the form accurately and efficiently.

Follow the steps to fill out the Work History Report online.

  1. Use the ‘Get Form’ button to obtain the Work History Report, allowing you to access the necessary fields in the editor.
  2. Begin with Section 1, which includes personal information about the disabled person. Fill in the name, Social Security number, and daytime telephone number as prompted.
  3. Move to Section 2, where you will provide information about your work history. List all jobs you held in the 15 years before becoming unable to work. Include job titles, type of business, and dates worked.
  4. For each job listed, provide additional details in the subsequent sections. This includes describing job duties, estimating hours worked, and documenting rate of pay.
  5. Indicate whether you used any machines, tools, or technical knowledge in the job. Provide details on daily physical activities, such as sitting, standing, and lifting.
  6. Use the remarks section as needed to explain or expand on any answers where there is limited space.
  7. Finally, complete Section 3 with your name, address, and the date of completion. Ensure that you have filled everything accurately before proceeding.
  8. Once you have reviewed the form for accuracy, you can save any changes, download, print, or share the completed Work History Report.

Start filling out your Work History Report online today to advance your disability claim.

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Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

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You can ask HM Revenue and Customs ( HMRC ) for a record of your employment history, for example if you're making a compensation claim for: an industrial injury (for example asbestosis or industrial deafness)

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.

IRS Wage History Reports The IRS keeps a record of these filings, and you can access your wage history for free. This wage and income transcript includes information for the past 10 years. ... You can get this transcript via the IRS Get Transcript Online portal, or by mailing or faxing a completed IRS Form 4506-T.

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 best way to get the exact date of your employment is to call the human resources department of your previous employer, if the company is still in business. If not, call the Internal Revenue Service or the Social Security Administration; they keep records of your work history.

If you need names and addresses of employers to fill out your employment history, you can find them on your tax returns, which you need Form 4506 to request. The IRS makes the form available for download online at http://www.irs.gov/pub/irs-pdf/f4506.pdf.

While this is not a true work history report, you can see employer names, wages paid and taxes withheld for the past 10 years. You can get this transcript via the IRS Get Transcript Online portal, or by mailing or faxing a completed IRS Form 4506-T.

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.

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.

Certified Yearly Totals of Earnings Yearly earnings totals are free to the public if you do not require certification. To obtain FREE yearly totals of earnings, visit our website at www.ssa.gov/myaccount. Section 205 of the Social Security Act, as amended, allows us to collect this information.

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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