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Jonathan Ginsberg’s

Disability Answer Guide

Your step by step guide to completing Social Security’s adult disability forms and winning Social Security Disability benefits

© 2003 by Jonathan C. Ginsberg and Ginsberg Law Offices, P.C. Revision 10/2003

Jonathan Ginsberg’s Disability Answer Guide Table of Contents

Copyright notice

About the author - Jonathan Ginsberg

Overview of Title II disability cases

Form SSA-16-F6 - Application for Disability Insurance Benefits Form SSA-3368-BK - Disability Report - Adult

Form SSA-3369-BK - Work History Report

Form DAS 12-03 02/99 - Daily Living Questionnaire

Form SSA-795 - Statement of Claimant or Other Person

Form SSA-7004 - Request for Social Security Statement

Form SSA-7008 Request for Correction of Earnings Record

Form SSA-7050-F4 - Request for Social Security Earnings Information

Form SSA-561-U2 - Request for Reconsideration

Form SSA-3441-F6 - Reconsideration Disability Report Form SSA-501-U5 - Request for Hearing by Administrative Law Judge

Form HA-4486 - Claimant’s Statement When Request for Hearing is filed

Form SSA-821-BK - Work Activity Report

Form HA-4631 - Claimant’s Recent Medical Treatment

Form HA-4632 - Medications List

Form HA-4633 - Work Background

Form SSA-827 - Authorization for Release of Information to Soc Sec. Administration

Functional Capacity form - physical condition

Cover letter to doctor

Sample completed form

Blank form

Functional Capacity form - mental health condition

Cover letter to doctor

Sample completed form

Blank form