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The SSA Adult Function Report for disability is an important form to help you in your application process. This document provides the SSA with information about your daily activities and how your disability impacts your ability to complete them.
If you want to submit a BPQY but do not have one, contact the SSA office that issued your award and request form SSA-2459. You may also request a BPQY by calling 1-800-772-1213 or by visiting .ssa.gov.
L Report of Confidential Social Security Benefit Information (SSA-2458). This is a report sent to the client, although a third party may have requested the information. l Annual notice of cost of living adjustment (COLA) sent to the client by SSA. l Public Assistance Agency Information Request (SSA-1610-U2).
Forms NumberTitleSSA-8240Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data ProvidersSSA-8510Authorization for the Social Security Administration to Obtain Personal InformationSSA-8552Interview ConfirmationSSA-L447Medicare Savings Programs Eligible Letters195 more rows
Report any changes that may affect your SSI as soon as possible and no later than 10 days after the end of the month in which the change occurred. Please see the Spotlight on Reporting Your Earnings to SSA.
A medical source statement is a form completed by your doctor summarizing how limited you are physically and mentally as a result of your conditions. This document will help the SSA determine whether you are disabled.
SSA and its affiliated State disability determination services use Form SSA-827, "Authorization to Disclose Information to the Social Security Administration (SSA)" to obtain medical and other information needed to determine whether or not a claimant is disabled.
Form SSA-1. Information You Need To Apply For Retirement Benefits Or Medicare. Social Security Administration.