Printable Ssi Disability Application
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.
Printable ssi disability application. The form you are looking for is not available online. Base application forms for disabled widows and adult children are the ssa 10 and ssa 4 bk respectively. Social security disability or retirement benefits. I amwe are applying for supplemental security income and any federally administered state.
Or contact your local social security office. To receive supplemental security income you must apply for and accept social security benefits if you are eligible. Do not write in this space 1. To improve the chance of enjoying a successful result avoid making mistakes.
Application for disability insurance benefits. 19 continuing disability reviews. Disabled widower benefits at least age 50 and widowed if divorced married to deceased 10. For instance dont collect unemployment while youre waiting for the outcome of a social security disability income ssdi application.
Page 1 of 7 omb no. Please call us at 1 800 772 1213 tty 1 800 325 0778 monday through friday between 7 am. Social security administration staff or others who help people apply for ssi will fill out this form for you. I apply for a period of disability andor all insurance benefits for which i am eligible under title ii and part a of title xviii of the social security act as presently amended.
Although completing the application for social security disability insurance ssdi is time consuming its relatively simple to begin and file once you gather the information required. An appointment is not required but if you call ahead and schedule one it may reduce the time you spend waiting to apply. You may initiate the application by going online to the ssa website if youve paid social security tax on your earnings over a certain number of years. The base application for social security disability ssdi is the ssa 16 bk while the base application form for supplemental security income ssi disability is the ssa 8000 bk.