Form SSA-3368-BK (10-2015) UF (10-2015). DISABILITY REPORT - ADULT SSA-3368-BK PLEASE READ THIS INFORMATION BEFORE COMPLETING THIS REPORT. The information you give us on this report will be used by the office that makes the disability. Form SSA-3368 is the basic form used for adults who are claiming disability benefits. You can fill the form out yourself or have a representative such as a Social Security Disability lawyer help you with it, but you should not have your doctor fill out any of it.
Form SSA-3368-BK, Disability Report - Adult is a form used to provide information when you claim Social Security disability benefits for adults. The report - also known as the SSA Form 3368-BK - was issued by the Social Security Administration (SSA).The latest version of the document was released in October 2015.An SSA-3368-BK fillable form is available for digital filing and download below.4.5/5(47). DISABILITY REPORT - ADULT SSA-3368-BK PLEASE READ THIS INFORMATION BEFORE COMPLETING THIS REPORT The information you give us on this report will be used by the office that makes the disability decision on your disability claim. Completing this report accurately and completely will help us expedite your claim.
Form 3368 is filed with the Social Security Administration (SSA) when you apply for Social Security Disability (SSDI) or SSI disability benefits. For SSDI applicants, this Adult Disability Report is now part of the main online disability application.Author: Bethany K. Laurence, Attorney. The SSA-3368: Adult Disability Report helps DDS to obtain a complete picture of the applicant’s medical history and treatment. Complete information is essential. Be .