Printable Ssa Disability Application

Form ssa 8000 bk 01 2012 destroy prior editions.

Printable ssa disability application. Application for survivors benefits payable under title ii of the social security act ssa 25. Base application forms for disabled widows and adult children are the ssa 10 and ssa 4 bk respectively. To improve the chance of enjoying a successful result avoid making mistakes. To apply for ssi youll need to fill out form ssa 8000 bk application for supplemental security income plus either form ssa 3368 bk adult disability report or form ssa 3820 bk disability report child.

Depending on your status you may qualify for social security disability insurance ssdi or supplemental security income ssi or both. He or she can have the needed forms and paperwork mailed to you before the appointment takes place. The base application for social security disability ssdi is the ssa 16 bk while the base application form for supplemental security income ssi disability is the ssa 8000 bk. Accessibility help apply for benefits.

Pre approval form for consent based social security number verification cbsv ssa 89. If you do not wish to use the online application or the application for the benefit you want is not available online you can. An appointment is not required but if you call ahead and schedule one it may reduce the time you spend waiting to apply. I apply for a period of disability andor all insurance benefits for which i am eligible under title ii and part a of title xviii of the social security act as presently amended.

The social security disability application is long and complex. I amwe are applying for supplemental security. Page 1 of 7 omb no. An appointment is not required but if you call ahead and schedule one it.

To apply for ssdi youll need to fill out form ssa 16 bk application for disability insurance benefits and form ssa 3368 bk adult disability report. This service is not available at this time. Please try again later during our regular service hours eastern time. Form ssa 16 06 2018 uf discontinue prior editions social security administration.

Medicare income related monthly adjustment amount life changing event. Return to the application. Application for disability insurance benefits. Application for supplemental security income ssi form approved omb no.

Call us at 1 800 772 1213 tty 1 800 325 0778. Certification of election for reduced spouses benefits. The checklist of required documents will be included in the ssa packet. By calling our national toll free service at 1 800 772 1213 tty 1 800 325 0778 or visiting your local social security office.

Social security administration staff or others who help people apply for ssi will fill out this form for you. Visit your local social security office.