Also, print the applicant's name in Signature block. ... FOR YOUR INFORMATION An agency in your State that works with us in administering the Social Security disability program is …

An Adult Disability Report that collects more details about your illnesses, injuries or conditions, and your work history; Medical evidence already in your possession.

Social Security offers an online disability application you can complete at your convenience. Apply from the comfort of your home or any location at a time most convenient for you.

SSA-295 Disability Determination Ready Claim Certification Form Submit Online SSA-308 Modified Benefits Formula Questionnaire, Foreign Pension Form

Step 2 — Fill out the Disability Benefit Application. Answer questions about yourself, your disabling conditions, how they limit your ability to work, and your education and job history.

The Disability Starter Kit will help you get ready for your disability interview or online application. Kits are available for adults and for children under age 18.

You can apply for Disability benefits online, or if you are unable to complete the application online, you can apply by calling our toll-free number, 1-800-772-1213, between 8:00 a.m. and 7:00 p.m.

The office that makes the disability decision on your case will use the information you provide in this report to decide whether you are disabled. Please complete as much of the report as you …

We encourage you to use this Checklist to help you prepare to file for adult disability benefits. We need your personal, medical, and job information to determine if you are eligible for disability …

Your application does not ordinarily have to be witnessed. If, however, you have signed by mark (X), two witnesses to the signing, who know you, must sign below giving their full address.