How to Fill Out Form SSA-3441-BK in Salinas

Disability Report Appeal Form

If you’ve been denied Social Security Disability (SSD) benefits, you’re far from alone.

Social Security denies most people when they first apply.

At Angelina Valle & Associates, we strongly encourage you to consider appealing.

Appeals are when many people win benefits.

After you receive a denial letter from the SSA giving the reason why you were denied, Form SSA-3441 is a crucial part of filing your appeal.

Don’t delay starting your appeal. The Social Security Administration (SSA) has a strict deadline for appeals. If you miss it, you might have to start over your application from the beginning.

So getting this form — called the “Disability Report – Appeal” — submitted on time is important to your case. You usually have about 60 days from your denial.

Make sure to submit the form before the deadline Social Security gives you. That way you keep your claim open and active.

You can fill out the form online, or fill out and return a paper form to a Social Security office.

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

What Information Do I Put on Form SSA-3441?

You’ll need to include:

  • Description of your medical condition
  • Details about your medical records
  • Names of your doctors or other health care providers
  • Names of your hospitals and clinics
  • List of your medications
  • List of the medical tests you’ve undergone
  • The latest on your work status
  • The latest on your daily activities

Tips for Filling Out Form SSA-3341

The most important thing to know about filling out Form SSA-3341 is don’t leave anything blank.

If a question doesn’t seem to apply to you, mark it “I don’t know” or “Not applicable.” If a question seems repetitive, fill it out anyway.

If you leave a blank field, it could delay your appeal.

Include copies of your medical records. You probably need to update your file with more information about treatment you received since you first applied for benefits.

And as you gather your answers for this form, save copies of the medical records you collect.

It’s always a good idea to hold onto those because you’ll need them later as your appeal moves forward.

Should I Get A Lawyer To Help Me with Form SSA-3441?

Yes. Applying for Social Security Disability is complicated. Appealing is even more involved.

You can ease your own burden and give yourself the best chance at winning benefits by working with an experienced disability lawyer.

Angelina Valle & Associates has helped thousands of people in the San Jose and Salinas areas win disability benefits.

We understand how the system works and where you can run into problems.

We can help you with Form HA-3441 and all the forms you need to apply and appeal for Social Security Disability benefits.

If your case reaches the point where you need to talk to a judge, we’ll also help you prepare for that, so you’ll be confident and ready to testify. Some lawyers only show up on the day of your hearing.

When you work with us, we’ll collect all your medical evidence, analyze your Social Security file, set a strategy for your case and question any medical or vocational experts who Social Security calls to testify about you.

Call us right away if you were denied your disability claim, so you don’t lose time to put together your appeal.

You’re going through a lot of hardship. We’re determined to guide you through this process with care and compassion.

If you need help with Form HA-3441, contact us now!

Form SSA-3441-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.