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Social Security Forms

Welcome to our Resources page! At Jung Disability and Injury Advocates, we understand that navigating the disability claims process can be overwhelming, which is why we have compiled a list of helpful resources to assist you in your journey.

  1. SSA.GOV: The SSA is the federal agency responsible for administering Social Security Disability (SSD) and Supplemental Security Income (SSI) benefits. On their website, you can find information about eligibility requirements, the application process, and how to file an appeal. 

  2. SSD and SSI Eligibility: This page on the SSA website provides detailed information about the eligibility requirements for SSD and SSI benefits. It includes information about work credits, income and resource limits, and the definition of disability. 

  3. Application for Disability Benefits: This page on the SSA website provides step-by-step instructions on how to apply for SSD and SSI benefits, including information on how to gather the necessary medical evidence. 

  4. Disability Benefits Checklist: This page on the SSA website provides you everything you need to know in order to create a my Social Security Account and apply for disability benefits online. 
  5. Disability Benefits Resources: This page on the SSA website provides a wealth of resources for individuals with disabilities, including information on employment support, housing assistance, and other benefits. 
  6. Disability Determination Services: This page on the SSA website provides information on how the SSA determines if an individual is disabled, including the medical criteria and evaluation process. 

  7. Disability Hearing Process: This page on the SSA website provides information on the hearing process for individuals who have been denied benefits and wish to appeal the decision.

  8.  Disability Benefits Forms: This page on the SSA website provides access to all forms related to disability benefits, including the application form and forms for medical evidence. 

  9. Appointment of Representative SSA-1696

    The form that is used by a disability claimants to appoint a representative to act on their behalf in their claim for Social Security Disability (SSD) or Supplemental Security Income (SSI) benefits. When a disability claimants appoints a representative, they are giving the representative the authority to act on their behalf in all matters related to the claim, including communicating with the Social Security Administration (SSA), obtaining and submitting evidence, and representing the claimants at a hearing before an administrative law judge (ALJ). It's important to note that the claimants are free to appoint anyone they choose as their representative, including a family member, friend, or attorney. However, the representative must be willing to act on the claimants behalf and be willing to provide their personal information and a signature on the form. Additionally, claimants may revoke the appointment of their representative at any time by submitting a new SSA-1696 form with the statement of revocation.

  10. Authorization to Disclose Information to the Social Security Administration SSA-827

    This form is typically used when a disability claimant wants the SSA to be able to access their medical records, including information about their medical history, treatment, and current condition, in order to help determine their eligibility for disability benefits. The SSA-827 form is also used when a disability claimants wants the SSA to be able to access other types of information, such as employment records, school records, and military records that may be relevant to their claim. It is important to note that the SSA-827 form is not mandatory, but it can be very helpful in speeding up the process of your claim. The form allows the SSA to gather information from a variety of sources, which can be useful in determining the person's eligibility for benefits.

  11. Request for Hearing by Administrative Law Judge HA-501-U5

    A form that is used by a disability claimants to request a hearing before an administrative law judge (ALJ) if their claim for Social Security Disability (SSD) or Supplemental Security Income (SSI) benefits has been denied. When a claim for disability benefits is denied, the claimants have the right to request a hearing before an ALJ, who is an independent decision maker, to appeal the decision. Keep in mind claimants are only given 65 days from their denial to appeal the decision. The HA-501-U5 form is used to initiate this process.

  12. Disability Report Appeal SSA-3441-BK

    The form that is used by a disability claimants to provide information about their medical condition and how it affects their ability to work to the Social Security Administration (SSA) when appealing a denied claim for Social Security Disability (SSD) or Supplemental Security Income (SSI) benefits. When a claim for disability benefits is denied, the claimants have the right to appeal the decision within 65 days of their denial and request a hearing before an administrative law judge (ALJ). The SSA-3441-BK form is used to provide the ALJ with detailed information about the claimants' medical condition and how it affects their ability to work.

  13. Function Report - Adult SSA-3373: This form is used by a disability claimants to provide the SSA with detailed information about their daily activities, including information about how the person's condition affects their ability to perform basic activities of daily living, such as dressing, bathing, and grooming. It also includes information about the person's ability to perform work-related activities, such as sitting, standing, walking, and lifting.
  14. Request for Waiver of Overpayment Recovery  SSA-632: This form is used by a disability claimants to request a waiver of the recovery of overpaid benefits or a change in the repayment rate for overpaid benefits. It can be used when a person is unable to repay the overpaid benefits due to financial hardship or other extenuating circumstances.

We hope that these resources will be helpful in your journey to obtaining disability benefits. Remember, at Jung Disability and Injury Advocates, we are here to help you every step of the way. If you have any further questions or would like to schedule a free consultation, please don't hesitate to contact us at (843) 576-4200.

Contact Us Today

Jung Disability and Injury Advocates is committed to answering your questions about disability, personal injury, and worker's compensation law issues in South Carolina.

We offer a free consultation and we'll gladly discuss your case with you at your convenience. Contact us today to schedule an appointment.

Office Location

1156 Bowman Rd
Suite 200
Mount Pleasant, SC 29464

843-576-4200 (Main)
843-364-1176 (Cell)
855-319-2736(Fax)
Email: [email protected]

Mon - Fri: 9:00am - 5:00pm


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