Get Latest WorkWORLD

Social Security Administration Forms

SSA Forms Online

The Social Security Administration (SSA) offers a number of their most commonly used forms as file downloads in PDF format (requires Adobe Acrobat Reader), available on the Internet at:
http://www.ssa.gov/online/forms.html

The most recent revisions of SSA's forms will always be on the website above.

Internal Forms

For the user's convenience and to facilitate learning, several SSA forms are included here. Before you actually use these, you should check to make sure the included forms are still current. You can check the website above, or contact your local SSA office to determine the current version of the form.

Each of these forms requires Adobe Acrobat. Remember to use the Print button on the Acrobat toolbar rather than the Help Toolbar if you choose to print a form. Click the Back button on the Help window to return here after viewing or printing.

·           Plan for Achieving Self-Support (SSA-545, revised 02/2010)
Complete this form to describe and apply for a PASS.

·           Authorization to Disclose Information to the Social Security Administration (SSA-827, revised 04/2009)
This form is used by SSA to contact your doctors and other health care providers, and others who will give sensitive medical and other information about you to help SSA decide your application for disability benefits. Your signature is required on the form. Another individual who knows your identity must witness your signature, and that person must sign it also.

·           Appointment of Representative (SSA-1696, revised 03/2011)
You can choose to have a representative help you when you do business with Social Security. SSA will work with your representative, just as they would with you, unless he or she asks SSA to work directly with you. Representatives are usually attorneys, but need not be. If you do not know the name of a representative in your area, your local Social Security Administration office can provide a list of representatives for you to choose from.

·           Consent for Release of Information (SSA-3288, revised 07/2010)
Complete this form if you want the Social Security Administration to give information or records (for example, benefits information or amount) about you to an individual or group.

·           Work History Report (SSA-3369, revised 04/2011)
The information you provide on this form when you file a disability application tells SSA about the kinds of work you did, including the types of skills you needed and the physical and mental requirements of each job, and helps SSA understand how your illnesses, injuries, or conditions might affect your ability to do work for which you are qualified.

·           Disability Report - Child (SSA-3820, revised 08/2010)
The information you provide on this form when you file a disability application for your child tells SSA about your child's illnesses, injuries or conditions and how they affect him or her, information about the child's medical records, medications, tests, medications, and work history. (See also SSI/DI Application Information topic.)

·           Application for a Social Security Card (SS-5, revised 08/2011)
Use this application to apply for an original Social Security card, a duplicate Social Security card (same name and number), a corrected Social Security card (name change and same number), or a change of information on your record other than your name (no card needed).

About these forms

Some Social Security forms publications depend for their comprehension and visual impact on reproduction as they appear in their printed format. Many of the forms are machine-read and also depend on accurate reproduction. In order to make these documents and forms available to the widest audience, SSA uses the Portable Document Format (PDF), developed by Adobe. PDF files can easily print a duplicate of the original publication using any graphics printer (i.e., laser, inkjet, dot-matrix or plotter). In order to view or print these files in the PDF format, you will need to have Adobe's Acrobat® reader installed on your computer. See the Adobe Acrobat Reader topic for more information.

PDF files are printer independent using any printer. If you are using the software to print SSA forms, the form should be printed on 8 1/2" x 11" white paper. You must print the form with blue or black ink to be acceptable to SSA.

Source:

Information in this topic was drawn from the Social Security Administration website at:
http://www.ssa.gov/online/forms.html

WorkWORLD™ Help/Information System

   Share/Save: Click the button or link at left to select your favorite bookmark service and add this page.

This is one topic from the thousands available in the WorkWORLD™ software Help/Information System.
Complete information about the software is available at: http://www.WorkWORLD.org