How to Fill Out Form SSA-546 in Salinas

Worker’s Compensation Form

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

If you’re receiving workers’ compensation benefits — or you potentially could receive workers’ comp — because you were hurt on the job, one of the forms you’ll encounter is Form SSA-546.

This form is called the “Workers’ Compensation/Public Disability Benefit Questionnaire.”

Social Security uses this form to determine if workers’ comp benefits will offset some of your Social Security Disability benefits.

Social Security doesn’t require you fill out this form, but if you don’t provide the information it asks for, that could cause problems for your SSD application.

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

What Information Do I Put on Form SSA-546?

You’ll need to list:

  • Any workers’ comp or public disability benefits you’re receiving because you got hurt on the job
  • The name of the workplace where you were hurt
  • The name of the employer’s insurance company
  • The date of your injury
  • How long you’ve been receiving workers’ comp
  • How much money you’ve received in workers’ comp
  • Your workers’ comp claim number
  • Where your claim stands if you haven’t started receiving workers’ comp

Where Do I Send Form SSA-546?

You can file Form SSA-546 online.

You also can fill out the report in person during your interview with a Social Security 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.

What Happens After I File Form SSA-546?

When you submit Form SSA-546, the report becomes part of your Social Security Disability claim.

An SSA claims representative forwards it — along with the rest of your application forms — to one of California’s Disability Determination Services (DDS) offices.

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

After DDS gives its opinion, a Social Security disability 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 the date of your injury and name of your workers’ comp insurance carrier.

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

Can I Get a Lawyer To Fill Out Form SSA-546?

Angelina Valle & Associates can help you with Form SSA-546.

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 you’re 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-546, contact us now!

Form SSA-546


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.