Form SSA-3368-BK
Disability Report - Adult

Download form to fill it out online

If you’re applying for Social Security Disability benefits, get ready to fill out forms. One of the first forms you will need to fill out is the Disability Report form for adults: Form SSA-3368.

How Do I File Form SSA-3368?

Once you complete Form SSA-3368, you will need to file it with the Social Security Administration when you file for Social Security Disability or SSI benefits. If you’re applying for Social Security Disability, your Adult Disability Report (Form SSA-3368) is not part of your disability application.

If you file it online, you can collect your medical evidence and fill it out whenever you’re ready.

If you opt to apply in person, you can fill out the Adult Disability Report during your interview with the SSA claims representative.

Applying at your local SSA office is a better option if you think you’ll have questions for things you don’t understand on Form SSA-3368.

What Information Do I Need to Complete Form SSA-3368?

When you fill out your Adult Disability Report, you will need to outline the nature of the disability for which you are applying for benefits. Your disability can be physical, mental or a combination of both. You will also need to provide information on the date of when your condition began, any medical treatment you have received and any doctors you’ve seen or medical facilities where you’ve been treated. You will also need to provide details regarding your symptoms and your medical history.

One of the sections that is most important is the section that asks how your disability prevents you from working and why you’re unable to perform your past jobs and any other type of job.

What Happens Once I’ve Filed Form SSA-3368?

This report form is the starting point for your entire Social Security Disability claim. Once you’ve completed it, an SSA claims representative will forward it to Disability Determination Services (DDS). DDS is the state agency that makes the initial decision on your disability case for the Social Security Administration.

At this point, your case is assigned to a disability claims examiner who evaluates your disability claim. It’s important that you provide as much information as possible so the examiner has a clear picture. Make sure all of your information is correct especially things like contact information for your doctors and medical treatment facilities. Double checking the information on your form will help your claim move through the system more quickly. If you forget things or put down incorrect information or leave things blank, your disability can be delayed for months.

Can an Attorney Help Me Fill Out Form SSA-3368?

Some disability attorneys don’t help you apply, but at Levine Benjamin, we can help with your application. Our experienced disability attorneys are familiar with this form and can guide you through it to make sure you have a strong application. We’ll make sure you’re providing a clear picture for the examiner to give you the best chance to have your application approved.

The Social Security Disability lawyers at the Levine Benjamin Law Firm are here to help you through the complicated Social Security Disability processes. We can help you every step of the way. Contact us now if you need help filling out Form SSA-3368.

Forms

Disability Report-Adult

Work History Report

HEARING REQUEST
Claimant's Statement when 'Request for Hearing' is filed and issue is Disability

HEARING PREPARATION
Disability Report Appeal

Recent Medical Treatment

Medication List

Recent Work History

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