San Jose Social Security Disability Resources

Social Security Disability Forms

When you apply for disability benefits, you will be asked to fill out various forms required by the Social Security Administration (SSA). Similarly, if you receive a denial letter, you will also be asked to fill out forms to help gather more information for the SSA.

Below are some common forms you will be asked to fill out. If you need help with any form, please feel free to contact us.

Forms

Pre-Application
Workers’ Compensation/Public Disability Questionnaire
View and download Form SSA-546

Disability Report – Adult
View and download Form SSA-3368

Work History Report
View and download Form SSA-3369-BK

Hearing Request
Claimant’s Statement when ‘Request for Hearing’ is filed and issue is Disability
View and download Form HA-4486

Hearing Preparation
Disability Report Appeal
View and download Form SSA-3441-BK

Medication List
View and download Form HA-4632

Recent Work History
View and download Form HA-4633


Advocacy and Program Information

NSCLC – National Senior Citizens Law Center
CCD – Consortium for Citizens with Disabilities
Bazelon Center for Mental Health Law – Advocacy Manuals
Medicare Rights Center
NOSSCR – National Organization of Social Security Claimants’ Representatives


Medical Resources

The Merck Manual of Diagnosis and Therapy – The classic reference.
The American Psychological Association PsychNet and PsychCrawler (really).
The American Psychiatric Association – Publishers of the DSMV.
The American Medical Association and:
AMA Physician Select – Find information on all U.S. MDs.
JAMA – Journal of the American Medical Association.
Stanford University MedWorld – Amazing access to research tools.
National Institutes of Health
NIH National Library of Medicine
Centers for Disease Control
Food and Drug Administration
World Health Organization
MedScape – Extensive! Free after registration.