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1 2 3 Lowell Finley, SBN 104414 LAW OFFICES OF LOWELL FINLEY 1604 SOLANO AVENUE BERKELEY, CALIFORNIA 94707-2109 TEL: 510-290-8823 FAX: 510-526-5424 4 Attorney for Plaintiffs and Petitioners 5 SUPERIOR.

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A. Policy Disability Interview Form SSA-3367 (Disability Report Field Office) The SSA-3367 is used for title II and title XVI disability or blindness claims. The field office (FO) must complete an SSA-3367 for each disability claim. The form records basic information available to the FO interviewer.

respiratory illnesses, such as COPD or asthma. neurological disorders, such as MS, cerebral palsy, Parkinson's disease, or epilepsy. mental disorders, such as depression, anxiety, autism, or intellectual disorder. immune system disorders, such as HIV/AIDS, lupus, and rheumatoid arthritis.

Form SSA-3368 is the basic form used for adults who are claiming disability benefits. You can fill the form out yourself or have a representative such as a Social Security Disability lawyer help you with it, but you should not have your doctor fill out any of it.

People over 18 years of age who have worked and contributed to the Social Security Trust or others who became disabled before the age of 22 whose parent is deceased or receiving retirement or disability benefits may be eligible. ...

The Social Security Administration (SSA) provides a form, SSA-3368-BK (SSA 3368), Disability Report Adult, for you to use when applying for Social Security disability benefits. The SSA says that it will help them make a decision about your claim if you complete the report as accurately and completely as possible.

SSA will use Form SSA-8240, Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers, to secure the authorization needed from the relevant members of the public to obtain their wage and employment information from payroll data providers.

(a) Medically disabled. The term medically disabled refers to disability based solely on impairment(s) which are considered to be so medically severe as to prevent a person from doing any substantial gainful activity.

Form SSA-2458, Report of Confidential Social Security Benefit Information, has information about a person's Retirement Survivors Disability Insurance or Supplemental Security Income benefits. ... Taxpayers need to send Form SSA-2458 to any office that requires verification of either RSDI or SSI benefits.

The law defines disability as the inability to engage in any substantial gainful activity (SGA) by reason of any medically determinable physical or mental impairment(s) which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.

musculoskeletal problems, such as back injuries. cardiovascular conditions, such as heart failure or coronary artery disease. senses and speech issues, such as vision and hearing loss. respiratory illnesses, such as COPD or asthma.

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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