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Social Security RSS Feed

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Social Security Administration Forms -SSA 521- Request for Withdrawal of Application

sammyc2007 2/29/2008 | 1 (2) | 178 | 20 | 3 | English

Other (Please explain fully): Signature (First name, middle initial, last name) (Write in ink) I hereby request the withdrawal of my application, dated as above, for the reasons stated below. I understand that (1) this request may not be cancelled after 60 days from the mailing of notice of approval; and (2) if a determination of my entitlement has  ... more>>

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Social Security Administration Forms - SSA 3369 BK - Work History Report

sammyc2007 2/29/2008 | 2 (1) | 236 | 3 | 1 | English

READ ALL OF THIS INFORMATION BEFORE YOU BEGIN COMPLETING THIS FORM WORK HISTORY REPORT-Form SSA-3369-BK The information that you give us on this form will be used by the office that makes the disability decision on your disability claim. You can help them by completing as much of the form as you can. Work History Report --Form SSA-3369-BK HOW TO CO  ... more>>

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Request for Reconsideration

ronaldmiller 4/21/2008 | 0 (0) | 100 | 0 | 0 | English

SOCIAL SECURITY ADMINISTRATION TOE 710 Form Approved OMB No. 0960-0622 REQUEST FOR RECONSIDERATION NAME OF CLAIMANT NAME OF WAGE EARNER OR SELF-EMPLOYED PERSON (If different from claimant.) SUPPLEMENTAL SECURITY INCOME (SSI) OR SPECIAL VETERANS BENEFITS (SVB) CLAIM NUMBER SPOUSE'S SOCIAL SECURITY NUMBER (Complete ONLY in SSI cases) (Do not writ  ... more>>

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Checklist - Childhood Disability Interview

ronaldmiller 5/13/2008 | 0 (0) | 49 | 0 | 0 | English
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Appointment of Representative

ronaldmiller 4/21/2008 | 0 (0) | 110 | 2 | 0 | English

Social Security Administration Please read the back of the last copy before you complete this form Name (Claimant) (Print or Type) Social Security Number Form Approved OMB No. 0960-0527 Wage Earner (If Different) Social Security Number Part I APPOINTMENT OF REPRESENTATIVE I appoint this person, Ronald D. Miller of Disability Group, Inc. to ac  ... more>>

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Checklist - Adult Disability Interview

ronaldmiller 5/13/2008 | 0 (0) | 68 | 0 | 0 | English
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Function Report-Adult

ronaldmiller 4/21/2008 | 0 (0) | 230 | 2 | 0 | English

SOCIAL SECURITY ADMINISTRATION Form Approved OMB No. 0960-0681 FUNCTION REPORT - ADULT how your illnesses, injuries, or conditions limit your activities For SSA Use Only Do not write in this box. Related SSN Number Holder SECTION A - GENERAL INFORMATION 1. NAME OF DISABLED PERSON (First, Middle, Last) Sandra Allen 2. SOCIAL SECURITY NUMBER xxx-  ... more>>

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Medical and Job Worksheet - Adult

ronaldmiller 5/13/2008 | 0 (0) | 66 | 0 | 0 | English
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Medical Authorization

ronaldmiller 4/21/2008 | 0 (0) | 133 | 3 | 0 | English

Form Approved OMB No. 0960-0623 WHOSE Records to be Disclosed First NAME Middle Last Confirm SSN is entered SSN NAME SSN Birthday SSA USE ONLY NUMBER HOLDER (If other than above) AUTHORIZATION TO DISCLOSE INFORMATION TO THE SOCIAL SECURITY ADMINISTRATION (SSA) ** PLEASE READ THE ENTIRE FORM, BOTH PAGES, BEFORE SIGNING BELOW ** I voluntarily a  ... more>>

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Reviewing Your Disability

ronaldmiller 5/13/2008 | 0 (0) | 57 | 0 | 0 | English
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Request for Hearing

ronaldmiller 4/21/2008 | 0 (0) | 73 | 0 | 0 | English

SOCIAL SECURITY ADMINISTRATION OFFICE OF HEARINGS AND APPEALS Form Approved OMB No. 0960-0269 REQUEST FOR HEARING BY ADMINISTRATIVE LAW JUDGE (Take or mail the signed original to your local Social Security office, the Veterans Affairs Regional Office in Manila or any U.S. Foreign Service post and keep a copy for your records) 1. CLAIMANT 2. WAGE  ... more>>

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Medical and School Worksheet - Child

ronaldmiller 5/13/2008 | 0 (0) | 55 | 0 | 0 | English
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SSA-3288 Consent For Release of Information

ronaldmiller 4/21/2008 | 0 (0) | 119 | 0 | 0 | English

Form Approved OMB No. 0960-0566 Social Security Administration Consent for Release of Information TO: Social Security Administration Name: John Smith Date of Birth 6/29/1967 Social Security Number 123-45-6789 I authorize the Social Security Administration to release information or records about me to: NAME Assigned CM Sarita McGowan complete ADD  ... more>>

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Social Security Disability Benefits

ronaldmiller 5/13/2008 | 0 (0) | 67 | 0 | 0 | English
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SSA-3368 Adult Disability Report

ronaldmiller 4/21/2008 | 0 (0) | 309 | 2 | 0 | English

DISABILITY REPORT APPOINTMENTS SSA-3368 Adult Disability Report The SSA-3368 is used in the case that someone has never applied for social security disability benefits, or they have applied, then were denied and missed their sixty-day appeal deadline. Thus the person must start at the initial application stage, which requires completion of a 3368.  ... more>>

   
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