Social Security Administration (SSA) Forms and Resources
Here are the SSA forms, links, and other helpful resources you will need to complete SSI and/or SSDI applications.
SSA Forms - General
These forms can be used for both Adult SSI/SSDI and Child SSI Applications:
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SSA-3288: Consent for Release of Information (PDF)
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SSA-827: Authorization to Disclose Information to SSA (PDF)
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SSA-1699: Representative Registration (PDF) (Effective 9/30/24, you must submit this form to register as a Representative prior to submitting a SSA-1696. You only need to register once).
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SSA-1696: Appointment of Representative (PDF)
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SSA-8000: Application for Supplemental Security Income (SSI) (PDF)
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SSA-8001: Application for Supplemental Security Income (SSI) - Deferred or Abbreviated (PDF)
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SSA-3369: Work History Report (PDF)
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SSA-821: Work Activity Report (PDF)
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SSA-5064: Claimant's Statement About Loan for Shelter
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HA-1151: Medical Source Statement of Ability to do Work-Related Activities (Physical) (PDF)
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HA-1152: Medical Source Statement of Ability to do Work-Related Activities (Mental) (PDF)
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SSA-787: Physician's/Medical Officer's Statement of Patient's Capability to Manage Benefits (PDF)
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SSA-1699: Registration for Appointed Representative Services (PDF)
SSA Forms & Resources - Adult
These forms are specific to Adult SSI/SSDI Applications:
- SSA-16: Application for Social Security Disability Insurance (SSDI)
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paper form (use as a worksheet) (PDF)
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SSA-3368: Adult Disability Report
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paper form (use as a worksheet) (PDF)
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- SSA-3373: Function Report - Adult (PDF)
- SSA-4814: Medical Report on Adult with Allegation of Human Immunodeficiency Virus (HIV) Infection (PDF)
SSA Forms & Resources - Child
These forms are specific to Child SSI Applications:
SSA Annual and Policy Updates
Overpayments
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SSA-632-BK: Request For Waiver Of Overpayment Recovery Or Change In Repayment Rate (PDF)
Justice-Involved Persons
Veterans Health Administration (VHA) Forms
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VA Form 10-5345: Request for and Authorization to Release Medical Records and Health Information (PDF)
my Social Security
Employment
Other SSA Links
- SSA Listing of Impairments ("Blue Book")
Resources
Files
Attachment | Size |
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HA-1152: Medical Source Statement of Ability to do Work-Related Activities (Mental) (PDF) | 319.56 KB |
SSA-787: Physician's/Medical Officer's Statement of Patient's Capability to Manage Benefits | 50.53 KB |
Details
- Type:
- SSA Forms
- Date:
- May, 2023
Other Details
- Topic
- SSA Information