How to Fill Out Form SSA-3369-BK in Salinas

Work History Report

When you’re applying for Social Security Disability (SSD) benefits, there’s one thing you can’t avoid: filling out a lot of forms.

The form where you describe your work history – Form SSA-3369 – is a key part of your disability claim. This form is part of filing your basic application for benefits.

Form SSA-3369 is called the “Work History Report.”

You’ll use it to explain the jobs you did in the 15 years before medical problems forced you from work. You’ll need to detail the physical demands of each job.

What Information Do I Need for Form SSA-3369?

You’ll need to gather this information:

  • Your job titles
  • The dates of each job you held
  • Tasks you performed
  • Supervisory roles you had
  • How much weight you lifted in each job
  • How many hours you spent standing in each job
  • How much you did other physical maneuvers, such as walking, climbing, stooping, kneeling or crawling

Where Do I Send Form SSA-3369?

You can file Form SSA-3369 online with the Social Security Administration (SSA). You file it when you first apply for Social Security Disability or Supplemental Security Income (SSI) benefits.

You also can fill out this report in person during your interview with an SSA claims representative if you’re not applying online.

It can be better to apply in person if you think you’re going to have questions understanding the form.

Contact Angelina Valle & Associates now to get a FREE CONSULTATION on your Social Security Disability application.

What Happens After I File Form SSA-3369?

Along with Form SSA-3368, this report starts your Social Security Disability claim.

In California, an SSA claims representative forwards this form to a state Disability Determination Services (DDS) office.

DDS is a state division that makes an initial decision on your case.

After DDS gives its opinion, an SSA claims examiner evaluates your application.

It’s important to provide complete and accurate information on this form. Missing or wrong information can cause your benefits to get delayed or denied.

That’s why you should double-check details such as exact job titles, dates and duties.

Providing thorough information also increases the chance that the claims examiner will understand your situation.

Can a Disability Lawyer Fill Out Form SSA-3369?

Angelina Valle & Associates can help you with Form SSA-3369. We’ll collect and organize important documents and information for you. Many other disability firms won’t do that.

You can’t work because of your health. You’re scared about money problems and frustrated dealing with the massive disability system.

We put care, compassion, knowledge and experience into your disability application.

We’re determined to guide you through the process and give you the best chance of winning benefits.

If you need help with Form SSA-3369, contact us now!

Form SSA-3369-BK


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.