Before you start the report, please review the Adult Disability Benefits Checklist to be sure you have everything you need.
Completing the Report
The Online Adult Disability and Work History Report has seven sections: Overview, Identification, Medical, Work/Education, Remarks, Review, and Submit. In each section, we will give you instructions and examples to guide you.
The report does not have to be done all at once.
After you fill in your name and address, you will get a Reentry Number. You can select the "Sign Off (finish later)" button at the bottom left of any page to stop working on the report, and then use the Reentry Number to come back to the section where you left off. Your Reentry Number can only be used for this report.
The "Remarks" section lets you provide us with additional information you may wish to include. If you do not have enough room, write the information on a separate sheet of paper and send it to us at the address we give you after you have completed the report.
Saving the Report
We automatically save your report each time you click "Next," Previous" or "Sign Off (finish later)."
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When you have completed the report, you will see a Review of the information you entered. You can make any necessary changes at that time.
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Once you submit your report, you will see a Receipt page that includes a copy of the entire disability report you submitted. You should print this Receipt for your records.
Time Limits
There are time limits for your work on each page. If you spend 25 minutes on a page, you will receive a warning and you will be able to extend your time on the page. After the third warning on a page, you must move to another page or your time will run out and your work on that page will be lost.
Note: If your browser has JavaScript turned off, you will not receive any warnings. If you do not go to another page after 30 minutes, your disability report session will end and your work on the last page will be lost.