PRE-APPLICATION FORMS
Workers Compensation/Public Disability Questionnaire
SSA-546 Print and fill out by hand. Or fill out online, then print. (93 KB)
Disability Report-Adult
SSA-3368 Print and fill out by hand. Or fill out online, then print. (348 KB)
Work History Report
SSA-3369 Print and fill out by hand. Or fill out online, then print. (343 KB)
HEARING REQUEST FORMS
Claimant’s Statement when ‘Request for Hearing’ is filed and issue is Disability
HA-4486 Print and fill out by hand. Or fill out online, then print. (101 kb)
HEARING PREPARATION FORMS
Disability Report Appeal
SSA-3441-BK Print and fill out by hand. Or fill out online, then print. (200 KB)
Medication List
HA-4632 Print and fill out by hand. Or fill out online, then print. (51 kb)
Recent Work History
HA-4633 Print and fill out by hand. Or fill out online, then print. (56 KB)
Our Social Security Lawyers in San Francisco, CA are here to help.
