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Form SSA454BK (062023) UF Discontinue Prior Editions Social Security AdministrationPage 1 of 12 OMB No. 09600072CONTINUING DISABILITY REVIEW REPORT SSA454BK PLEASE READ THIS INFORMATION BEFORE COMPLETING.

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How to fill out the Fillable Form SSA-454-BKPrintable PDF Sample online

The Fillable Form SSA-454-BK is essential for reporting ongoing disability status to the Social Security Administration. This guide will provide clear and supportive instructions on how to successfully fill out this form online.

Follow the steps to fill out the form effectively.

  1. Press the ‘Get Form’ button to access the form and open it in your PDF editor.
  2. Begin by completing Section 1, which includes your name, social security number, and contact information. Make sure to provide accurate details, and if you have used other names, indicate them as required.
  3. In Section 2, provide the name and contact information for a person we can reach out to about your case who is not a healthcare provider.
  4. Section 3 requires medical information, including any health conditions and healthcare providers you have seen in the last 12 months. Be as thorough as possible, listing each condition and treatment received.
  5. Continue by addressing questions in Section 4 about your work status and any employment you have had since the last medical decision.
  6. In Sections 5 through 8, provide information about support services, education, and daily activities. These sections help the administration understand how your disabilities affect your life.
  7. Use Section 9 (Remarks) to add any additional information that might support your case or clarify previous answers.
  8. Finally, indicate who is completing the report in Section 10 and provide the date of completion.
  9. After reviewing the completed report, save your changes. You can then download, print, or share the form as needed.

Complete your documentation online today for a smoother submission process.

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This form is sent out by the SSA to individuals they believe have medical conditions that have improved. The recipient needs to complete the report in full and attach necessary information from medical professionals to support their need for disability payments.

How to complete an SSA 454 BK (Step by Step) Name. Social security number. Mailing address. Phone number. Whether you can speak and understand English. Whether you used any other names on your medical or educational records in the last 12 months.

The Disability Update Report is part of our Continuing Disability Review (CDR) process, which is required by law.

These period case reviews are referred to as “Continuing Disability Reviews,” (CDRs). Most CDRs are called “short form CDRs” which are completed within one to three months. In other cases, a “long form CDR” may take as long as six months to complete.

Ten Tips and Tricks for Filling Out a Disability Update Report (SSA-455-BK) # 1 – Understand the Short Form. ... # 2 – Try Not to Get Too Stressed. ... # 3 – Make a Copy Before Starting. ... # 4 – Answer Honestly. ... # 5 – List Your Reason For Doctor's Visit. ... # 7 – Advanced trick: Look Up Your Profile Code.

To complete a SSA-454-BK, you will need to provide the following information: Section 1 - Information About the Disabled Person. ... Section 2 - Contacts. ... Section 3 - Medical Condition(s) ... Section 4 - Medical Treatment. ... Section 5 - Medicines. ... Section 6 - Other Medical Information. ... Section 7 - Education and Training.

The SSA-454-BK (Continuing Disability Review Report) collects information necessary for a CDR and expedited reinstatement (EXR) case. The report records the most current information about the disabled individual's condition since the most recent favorable medical decision or the comparison point decision (CPD).

You can access the online form at .ssa.gov/ssa455-online-form. (Use either Microsoft Edge or Google Chrome for the best online experience.) Social Security number, current address and phone number, and a valid email address to complete the form.

About the SSA-455 Form SSA-455: Disability Update Report is a form that collects information about SSI and SSDI beneficiaries' medical conditions, recent treatment for those conditions, recent education or training, and recent attempts to return to work. “Recent” typically means within the last two years.

Most people (more than 70%) receive Form SSA-455, but a small percentage may receive Form SSA-454. Both forms ask questions about your condition, but Form SSA-454 will request more detailed information than SSA-455.

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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