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Social Security Claims Forms
 

These are just a very few of Social Security's own forms, and were the most current version when they were posted here. To be sure you are working with the most current version we recommend that you go to the Social Security Administration's website, www.ssa.gov, and download the version that is available today.

Social Security disability benefits application

Request for Hearing with an Administrative Law Judge

Work history report   (Why the work history report form? Because you must inform the Administration if you are getting disability benefits but you are trying to go back to work. If you are successful in going back to work, there are programs to help you make the transition off of benefits and on to a salary. But if you keep accepting disability benefits checks at the same time that you are working and earning a paycheck, Social Security will eventually figure it out and come after you. They will want back the money that you have been overpaid, and by the time they notice, the total amount could be thousands of dollars. Don't risk it. When you return to work, notify Social Security in writing -- and keep a copy for your own records! This form is great for giving Social Security this sort of an update.)

Medical Report on Adult with HIV, form SSA 4814. This tough-to-find form is reproduced here in PDF format. This is the 2000 version with 2002 updates, and we will post a new version as soon as it is released by the Social Security Administration and someone lets us know. Note that this form is not available on the Administration's website, or in most field offices.

These forms are products of the United States federal government for use in serving the public and so are in the public domain. They are not copyrighted, so download, print, copy, share and use them.

   

The following are just some of the forms that have been developed by Kendra Kleber & Associates for clients to use in collecting and reporting information to the Social Security administration.

Yes, you may use them as your very own even if you are not our client, but please just remember in the future to say nice things about lawyers. Each form is here in PDF format.

Medications list

Symptoms list

Treating physicians list

Journal page

Witness statement

  By the way, if you insist on telling lawyer jokes in the future, please try to imagine your dentist getting you out of jail.

 

 


The law office of Kendra S. Kleber & associates pllc

Social Security disability benefits assistance for people living with HIV/AIDS. Nationwide.

office: 248-591-0301 / email: kkleber (at) positiveoutlook.org

(c) 2004-2008 Kendra S. Kleber & Associates PLLC. Information in this message and on this website is not legal advice, or an offer to create an attorney-client relationship. Consult an attorney who is familiar with the law and the facts of your situation before making decisions about your legal rights. Remember, it is better to retain an attorney you did not need than to need an attorney you did not retain.