Who needs a Form SSA-3381?
This form should be used by any person wanting to obtain Social Security benefits because of medical conditions. It should be used when the Social Security appointment is scheduled.
What is Form SSA-3381 for?
This form serves as the collection of applicant’s medical information: medical facilities and specific doctors who gave help to the applicant, prescribed medicines, medical tests passed.
Also, this form must be filled with information detailing the applicant’s job history.
Is Form SSA-3381 accompanied by other forms?
This form is not accompanied by any of particular form or document. Nevertheless, it could serve as the mandatory attachment to various documents that are used for claiming Social Security benefits. The SSA-3381 serves as the standard form to report applicant’s medical and job status to the Social Security Administration.
How do I fill out Form SSA-3381?
The following information must be provided in order to complete the form:
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List of the physical or mental conditions (including emotional or learning problem) that limit your ability to work;
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List of any doctors, hospitals, clinics, therapists, or emergency rooms applicant has visited because of his conditions;
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List of any medicines' applicant takes and why he takes them. The doctor who made the prescription must be specified as well.
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List of any medical tests the applicant has or is going to have in the future;
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List of the jobs that the applicant has had in the 15 years before he became unable to work because of his physical or mental conditions.
Where do I send Form SSA-3381?
Once completed, this form should be brought to applicant’s Social Security appointment, either that is in person or by phone.
