Forms to Apply for Disability

There are number of forms by which the disabled people can claim the coverage and get the number of benefits. There are three forms which one can download as a PDF. After downloading the form, one can print every form and fill the instructions given in the form. These forms are available to type the answers and then they are viewed by the Adobe Reader which is the software by which one can easily view and print the PDF files. It is easy to install on the computer and is free of spyware or viruses. Some of the forms are:-

Work History Report – Form SSA-3369-BK

This is available in 8 page form. This form should be filled by all the social security disabled people by asking the employers about the dates and detailed inquiry of all the work done by them in the fifteen years before becoming disabled.

Disability Report – Form SSA-3368-BK

This is a 10 page form which should be filled by all the disabled people and asks the information from the employers such as when they stopped working, their doctors and treatment dates, their contact information, names of all the tests and medications taken by them, their medical conditions and how they prevent them from working, and general information about their vocational training and education.

Function Report-Adult-Form SSA-3373-BK

This is also an 8 page form by which disabled people can ask about their limitations in the daily activities due to the medical condition. This is an optional form which may or may not be filled by the disabled people and it depends on the preference of disability caseworker. The person can show the employer by filling in details in the form about the limitations when one is unable to work.

There are various other forms which the disabled person can fill to claim the coverage of social security benefits and they are:-

Apply for Permanent Total Disability

When the person becomes disabled, one can fill the IC-2 form for Permanent Total Disability and submit to the IC Claims Management Office.

Request Permanent Partial Disability reconsideration

The disabled applicants or employees can fill the IC-88 form for Permanent Partial Disability for request reconsideration and submit to the IC office.

Settle a safety requirement violation claim

If the disabled applicant wishes to file a safety requirement violation claim without any hearing then they should fill the IC-10 form when both the parties agree on settlement.

Medical Plan Enrollment Form

This form can be filled by the disabled applicant when he wishes to enroll in a health plan, wants to add a dependent and wants to change health plans.

Group Life Insurance Enrollment Form

This form can be filled when the disabled person wishes to make any modifications to the life insurance coverage and update their beneficiaries.

Salary Reduction Agreement Form

This form can be filled when one wants to change, decrease and increase their contribution.