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If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you. Important Note: PDFs you open from this page may default to opening within a browser, depending on your browser settings.
- Appeal
If you applied for Social Security or Supplemental Security...
- IDD
Listing of SSA-1199 forms for public use. Skip to main...
- Form Ha-4631
When you have requested, or are requesting, a hearing before...
- Work Activity Report
Social Security uses the Work Activity Report form to learn...
- Claimant's Medications
If you have worked since you filed your application for...
- Claimant's Work Background
Form HA-4632 | Claimant's Medications. When you have...
- Plan to Achieve Self-Support
Where to send this form. Send the completed form to your...
- Appeal
Applying online for disability benefits offers several advantages: You can start your disability claim immediately. There is no need to wait for an appointment; You can apply from the convenience of your home, or on any computer; and. You can avoid trips to a Social Security office, saving you time and money.
An agency in your State that works with us in administering the Social Security disability program is. responsible for making the disability decision on your claim.
A factsheet that answers questions most people ask when applying for disability benefits, A checklist of documents and information we will request, and. A worksheet to help you gather and organize the information you will need for your disability interview or to complete the online forms.
New Jersey – Temporary Disability Insurance Application You are responsible for having your healthcare provider and employer complete Parts B & C of this application.
Form SSA-16 | Information You Need to Apply for Disability Benefits. You can apply: Online; or. By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office. An appointment is not required, but if you call ahead and schedule one, it may reduce the time you spend waiting to apply.
This application (form DS-1) is for disability leave. If you wish to claim benefits for family caregiving or bonding, complete the application for Family Leave Benefits (form FL-1).