Filling Out the Social Security Adult Disability Report Form: What You Need to Know

  1. Social Security Claims
  2. Filling Out the Social Security Adult Disability Report Form: What You Need to Know

When you apply for disability benefits through the Social Security Administration (SSA), you must complete an Adult Disability Report or Form SSA-3368-BK. Whether you are applying for Supplemental Security Income (SSI), Social Security Disability Insurance (SSDI), or both, you must complete this form. This form allows SSA to gather information about eligibility for disability benefits or whether your disability prevents you from performing any type of job regularly. You also must fill out an updated version of this form if SSA denies your application for disability benefits and you want to appeal that decision.

Information Requested on the Adult Disability Report

The Adult Disability Report is 15 pages long and asks for detailed information from you about the following topics:

  • Your personal identifying information
  • Contact information for people who can always reach you, other than your doctors
  • Your medical conditions
  • Your work activities
  • Your education and training
  • Your job history
  • Medications that you take
  • Medical treatment that you have received and where you received it
  • Other medical treatment
  • Vocational rehabilitation, employment, or other support services (only if you already are receiving SSI benefits)
  • Any other information that you want SSA to know about your situation

The Adult Disability Report is very detailed. You will need a lot of information about the medical treatment you received, who provided that medical treatment, when you were treated, when you next have an appointment, and how to contact those medical providers.

You also need details about your job history for the past 15 years, including where you worked, when you worked for each employer, and how much you made while working there.

Filling Out the Adult Disability Report

It would help if you gave yourself plenty of time to fill out this form since it is so lengthy. However, it is okay to have a friend or family member help you fill out the form. You also may be able to fill out the form during an appointment with a claims representative from your local Social Security office.

You also should be sure to write something in every answer blank, even if it doesn’t apply to you. You can write “doesn’t apply” or “I don’t know” in the blank if you need to. If you run out of room in any sections, you can give additional information in the last section of the form and attach additional sheets if needed.

Remember that you don’t need to request copies of your medical records to send to SSA. The information that you provide on the Adult Disability Report will allow SSA to directly request those records from your doctors and other medical providers.

What Happens to My Adult Disability Report?

After you complete and turn in your Adult Disability Report and any other required application materials, an SSA claims representative will forward it to Disability Determination Services. That agency in your state is responsible for initially determining whether you are disabled and eligible for any type of disability benefits from SSA.

At Disability Determination Services, a disability claims examiner will review your Adult Disability Report and other materials to make this decision. As a result, the more information you provide at the beginning, the more quickly your application will move through the process, which can be lengthy. Conversely, if you provide incomplete or incorrect information, your application can be delayed significantly.

Call Our Offices for the Help You Need with Your Social Security Disability Case

You can depend on us at Armstrong & Vaught, P.L.C., to assist you when you have received a denial of your application for disability benefits. We regularly handle disability cases and know what it takes to build a strong case on your behalf. Call us today at (918) 582-2500 or visit us online to learn more.

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