As a claimant applying for SSDI benefits, you will need to fill out a number of forms detailing your condition. The main form you must complete is named the adult disability report (ADR) and it is vital to your case. The ADR is over 15 pages long and is a comprehensive guide to your work history, educational background, and medical treatment.
This form (SSA 3368 BK) is the basis of your disability claim and must be filled out completely. Do not leave any blank spaces or unanswered questions. If you have trouble filling out the form, contact a social security disability lawyer to assist you. This article will tell you more about the ADR and what information must be detailed.
Format
The ADR is in both paper and online format. Paper applications can be found at your local branch of the social security administration or mailed to you. The online format is found on the SSA website. The adult disability report is comprised of eleven sections that span fifteen pages.
You will be asked to provide details about your personal life and work history in the report. The sections are:
- Background and third party information
- Medical conditions
- Work activity
- Education and training
- Job history
- Medicines and medical treatment
- Other medical information
- Vocational Rehabilitation, employment and support services
- Remarks
Background And Third Party Information
This section deals with basic information such as your name, address, and desired language. If English is not your native or preferred language, state that in this section to prevent any confusion later on. The third party section is the category in which you provide the contact information of a friend or family member that has personal knowledge of your condition. The SSA will contact this person to interview them about your condition and its affects on your daily life.
Work Activity
In this section, you will be required to list all forms of employment you have had before, during, and after your disability. You must also list periods of unemployment or sick leave caused by your disability.
After detailing this information, claimants are required to provide a disability onset date. This is the date that you had to stop working due to disability and/or you were diagnosed with the disability. Use the accompanying medical records to pinpoint your approximate onset date.
Medicines And Medical Treatments
This section requires you to list all medical professionals, facilities and treatments you have received since you were diagnosed with a disability. You must include the contact information for the doctors and the addresses of the facilities. The SSA will contact the facilities to request your medical records.
They will also ask for the names of the prescriptions you take, the reasons you take them and the doctor that prescribed them. This section is lengthy and will require you to do a bit of research. Remember there is no time limit or application deadline for the ADR.
Contact A Trusted Social Security Disability Lawyer
Dr. Bill LaTour is a trained medical professional with a degree in clinical psychology and a social security disability lawyer. We’ve been helping disabled individuals in the Greater Los Angeles area, the Inland Empire, and Orange County get the disability benefits they need for years. Call Dr. Bill LaTour and his team today at 800-803-5090 or fill out our online form to schedule a free consultation.
