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Medical and Job Worksheet - Adult

    https://www.ssa.gov/disability/Documents/SSA-3381.pdf

    Adult Disability Starter Kit - Social Security Administration

      https://www.ssa.gov/disability/disability_starter_kits_adult_eng.htm
      Worksheet: “Medical and Job Worksheet – Adult.” The worksheet can help you prepare for your disability interview. It lists information that we will ask you and provides space to write down this information. We will ask …

    Adult Disability Starter Kit

      https://www.ssa.gov/disability/disability_starter_kits_adult_eng.htm?sub5=e6defaed-3529-8579-a217-5bbd320c39be&&&&&&&&#!
      Worksheet: “Medical and Job Worksheet – Adult.” The worksheet can help you prepare for your disability interview. It lists information that we will ask you and provides space to …

    Adult Disability Starter Kit

      https://www.myaccount.ssa.gov/disability/disability_starter_kits_adult_eng.htm
      Use one of the two following checklists to get ready for your appointment or when filing online: If your appointment is in-person or by telephone, use the Checklist—Adult …

    MEDICAL AND JOB WORKSHEET - ADULT - SSDFacts

      https://www.ssdfacts.com/forms/SSA-3381.pdf
      List all of the physical or mental conditions (including emotional or learning problems) that limit your ability to work. If you have cancer, please include the stage and type. List each …

    Medical and Job Worksheet - Adult

      https://soarworks.samhsa.gov/sites/default/files/jurisdiction-files/ssa-3381ApplicationWorksheet.pdf
      MEDICAL AND JOB WORKSHEET - ADULT MEDICAL AND JOB WORKSHEET - ADULT Please do not mail this worksheet to your local office. Did you know that you can …

    Checklist – Adult Disability Interview - Social …

      https://www.ssa.gov/disability/Documents/Checklist%20-%20Adult.pdf
      If a medical release Form SSA-827 (Authorization to Disclose Information to the Social Security Administration) was included with this package, please complete (sign and date …

    How to Fill out Form SSA-3381 | Disability Benefits Center

      https://www.disabilitybenefitscenter.org/how-to/fill-out-form-ssa-3381
      The SSA-3381 or “Medical and Job Worksheet - Adult”, while not a required part of the application for Social Security Disability (SSD) benefits, is a form that the Social Security …

    Form SSA-1170-KIT (02-2010) - Social Security …

      https://www.ssa.gov/disability/Documents/SSA-1170-KIT.pdf
      List all of the physical or mental conditions (including emotional or learning problems) that limit your ability to work. If you have cancer, please include the stage and type. List each …

    Filling Out Form SSA-3381 - Disability Benefits Help

      https://www.disability-benefits-help.org/faq/how-to-fill-out-form-SSA-3381
      The Medical and Job Worksheet is instead designed to serve as your “cheat sheet” for filling out all other forms required throughout the application process. Form SSA-3381 …



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