Disability Application Form Printable

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Disability application form printable. Base application forms for disabled widows and adult children are the ssa 10 and ssa 4 bk respectively. The form you are looking for is not available online. Please call us at 1 800 772 1213 tty 1 800 325 0778 monday through friday between 7 am. We accept photocopies of w 2 forms self employment tax returns or medical documents but we must see the original of most other documents such as your birth certificate.

Form ssa 16 06 2018 uf discontinue prior editions social security administration. Or contact your local social security office. The form will provide the personal and detailed information about the applicant. 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.

A disability application form is utilized when a disable person wants to get the benefits or supportive assistance that is entitled to him due to his disability. We will return them to you do not delay applying for benefits because you do not have all the documents. Application for disability insurance benefits. 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.

I apply for a period of disability andor all insurance benefits for which i am.