Forms Catalog Document - SSA3368 :-: SSA :-: Disability Report, Adult

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Disability Report, Adult

The Social Security Act requires claimants to furnish medical and other evidence to prove they are disabled. Applicants for disability benefits will complete form SSA-3368. The information will be used, in conjunction with other evidence, by State DDS's to develop medical evidence, to assess the alleged disability, and to make a disability determination.

Form #: SSA 3368 BK
Agency: Social Security Administration

	TYPE	PAGES	SIZE (KB)	CAPABILITY	WHAT'S NEEDED
	Both Form and Instructions	12	0	[2] Printable Only	Adobe Reader Download

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