Knowledge Base
SSA Forms Library
The forms behind every disability claim — what each one is for and how to complete it.
Request for Hearing by Administrative Law Judge
Form HA-501 asks for a hearing before an Administrative Law Judge after your claim has been denied at reconsideration. The…
Request for Review of Hearing Decision/Order
Form HA-520 asks the Appeals Council to review an unfavorable or partially favorable decision issued by an Administrative Law…
Application for Disability Insurance Benefits
Form SSA-16 is the official application for Social Security Disability Insurance (SSDI), the benefit program for workers who have…
Claimant's Appointment of a Representative
Form SSA-1696 officially appoints a representative, such as an attorney, to act for you in your Social Security claim. Once the…
Disability Report - Adult
Form SSA-3368, the Adult Disability Report, is the core medical questionnaire filed with every adult disability application. It…
Work History Report
Form SSA-3369, the Work History Report, documents the jobs you held during the 15 years before you became unable to work. For…
Function Report - Adult
Form SSA-3373, the Adult Function Report, describes how your conditions affect your daily life. It walks through a typical day:…
Disability Update Report
Form SSA-455, the Disability Update Report, is the short mailer SSA uses to conduct low-intensity continuing disability reviews…
Request for Reconsideration
Form SSA-561 is the first-level appeal of a denied Social Security claim. Filing it asks the state Disability Determination…
Statement of Claimant or Other Person
Form SSA-795 is SSA's all-purpose sworn statement form, used whenever you or someone who knows you needs to put facts on the…
Application for Supplemental Security Income (SSI)
Form SSA-8000 is the application for Supplemental Security Income (SSI), the needs-based program for people who are disabled,…
Authorization to Disclose Information to the Social Security Administration
Form SSA-827 is the medical release that lets SSA and the state Disability Determination Services collect the evidence your claim…