Click to download the following Social Security Disability forms
PRE-APPLICATION
Workers Compensation/Public Disability Questionnaire
SSA-546 (updated Feb. 2012)
Disability Report-Adult
SSA-3368-BK (updated Oct. 2015)
Work History Report
SSA-3369 (updated Apr. 2014)
DEVELOPMENT FORMS
Function Report – Adult
SSA-3373-BK (updated Jan. 2013)
Function Report – 3rd Party
SSA-3380-BK (updated Sept. 2017)
APPEAL FORMS
Disability Report Appeal
SSA-3441-BK (updated Apr. 2018)
HEARING PREPARATION
Claimant’s Recent Medical Treatment
Medication List
HA-4632 (updated Jun. 2010)
Recent Work History
HA-4633 (updated Nov. 2013)
Please Note:
All documents above are stored in Portable Document Format (.PDF) and require Acrobat Reader 5.0 or greater to view. Click on this icon to download Acrobat Reader DC