Ssa 3368 Bk Printable Form
The purpose of the form is to help the ssa determine whether the individual completing is qualifies for disability income.
Ssa 3368 bk printable form. Or contact your local social security office. Form ssa 3368 bk 10 2015 uf 10 2015. Many forms must be completed only by a social security representative. However if you have access to the internet you may access the disability.
Form ssa 3368 bk 01 2010 ef 04 2010 what we mean by disability disability under social security is based on your inability to work. Eligible under title ii and part a of title xviii of the social security act as presently amended. Download fillable form ssa 3368 bk in pdf the latest version applicable for 2020. Form ssa 3368 bk is a disability report for adults that is used by the social security administration.
Form ssa 16 06 2018 uf discontinue prior editions. Please call us at 1 800 772 1213 tty 1 800 325 0778 monday through friday between 7 am. First name middle initial last name 2. Form 3368 is filed with the social security administration ssa when you apply for social security disability ssdi or ssi disability benefits.
Social security administration united states federal legal forms and united states legal forms. For purposes of this claim we want you to understand that disability means you are unable to work as defined by the social security act. Fill out the disability report adult online and print it out for free. Printable and fillable form ssa 3368.
Check x whether you are female. Do not write in this space 1. Disability report adult form ssa 3368 bk please read all of this information before you begin completing this form tills is not an application if you need help if you need help with this form do as much of it as you can and your interviewer will help you finish it. Work history report form ssa 3369 bk read all of this information before you begin completing this form if you need help if you need help with this form complete as much of it as you can.
The form you are looking for is not available online. The information you give us on this report will be used by the office that makes the disability. Enter your social security number 3. Disability report adult ssa 3368 bk please read this information before completing this report.
One of the forms you will first encounter in this process is form ssa 3368 the disability report form for adults.