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CURRENTUnited States of America Railroad Retirement BoardForm Approved OMB No. 32200002 Do Not Write In This Space Officially FiledMonthApplication For Determination Of Employees DisabilityDayYearOffice.

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How to fill out the OMB AA-1d online

The OMB AA-1d is an essential form for individuals seeking a determination of disability benefits under the Railroad Retirement Board. This guide will help you understand the form's components and provide step-by-step instructions on how to fill it out online.

Follow the steps to accurately complete the OMB AA-1d form

  1. Use the ‘Get Form’ button to access the application form. This will allow you to download the document and open it for editing.
  2. Begin by reading Section 1, General Instructions, carefully. Ensure you understand the importance of each section and the required information before proceeding.
  3. In Section 2, Identifying Information, verify the accuracy of the details provided by the Railroad Retirement Board. Make any necessary corrections or additions to items 1 through 5, including name, claim number, and contact information.
  4. Move to Section 3 which focuses on describing your medical condition(s). Clearly indicate the primary diagnosis and any additional conditions affecting your work ability. Be sure to provide dates relevant to your condition.
  5. In Section 4, Information About Your Medical Care, detail any treatments received, including facilities visited, physician names, and the nature of your examinations. Ensure you accurately describe the type of medical care you've received since the onset of your condition.
  6. Continue to Section 5 to provide information regarding your education and training. Clearly indicate your highest level of education and any vocational training received.
  7. In Section 6, assess your ability to perform daily activities. For each activity listed, select the option that best represents your current capability.
  8. Section 7 involves reporting any work and earnings from the last 12 months. Be thorough in documenting your earnings and any employer details.
  9. In Section 8, disclose any self-employment status and expected earnings for the next 12 months, providing details as necessary.
  10. After completing all applicable sections, move to Section 9 for any remarks or additional comments that clarify your circumstances.
  11. Finally, review all responses for accuracy, ensuring all fields are completed as needed. Save changes, download, and print the form for your records, or share it as required.

Start filling out the OMB AA-1d form online today for your disability benefit determination.

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