What Is A SSA-3369-BK Form?
Form SSA 3369-BK is a Work History Report. This legal document is usually submitted to the Social Security Administration and helps to determine how your medical condition affects your ability to work in jobs for which you’re qualified. The report shows the responsibilities a person has performed in the past as well as skills and experience he/she has gained during employment.
This report helps the SSA to determine whether an individual is able to perform any kind of activity for which he/she may be qualified. The details provided mean not only a person cannot work in the last job, but also that he/she doesn’t have enough knowledge, skills or experience to find job in another area.
On this website you will find a fillable SSA 3369-BK sample in PDF that effortlessly can be completed online. The form consists of three sections that should include the following:
data about a disabled person, i.e. name, contact details and SSN;
information about work (here provide your job title, type of business, dates worked, description of responsibilities, rate of pay and other related details);
name of a person who completes a form if other than a disabled;
date of creating;
address and e-mail.
If you lack of space in other parts of a sample, there is one additional page where you can include all the important data. You also have an ability to edit a blank according to your requirements using various editing tools. Each sample is printable, so you can easily print it out. If you fill out a template online, you can send to a recipient straight from the source by e-mail.
Online choices make it easier to to prepare your document administration and enhance the productiveness of the workflow. Carry out the fast manual for you to finished Form SSA-3369-BK, stay clear of glitches and furnish it in the well timed method:
How to finish a Form SSA-3369-BK on the internet:
- On the web site with the sort, click on Start out Now and move to the editor.
- Use the clues to complete the appropriate fields.
- Include your individual details and get in touch with details.
- Make absolutely sure that you choose to enter proper information and figures in appropriate fields.
- Carefully look at the information with the variety in the process as grammar and spelling.
- Refer to assist part when you have any issues or tackle our Aid workforce.
- Put an electronic signature on the Form SSA-3369-BK with the assist of Indication Tool.
- Once the shape is done, press Accomplished.
- Distribute the all set sort by means of electronic mail or fax, print it out or conserve with your equipment.
PDF editor enables you to make improvements for your Form SSA-3369-BK from any world wide web related system, customize it as per your needs, sign it electronically and distribute in several methods.
Video instructions and help with filling out and completing Form SSA-3369-BK
Hi there this is Jonathan Ginsberg and today I'd like to talk to you about your work history form and the documentation you submit to Social Security about your past work and of course Social Security is notorious for asking you to fill out literally dozens of forms and I question sometimes whether anybody really reads these forms but one of the forms that actually does get rid get read and is very important when you get to a hearing is your work history form because realize that when you get to a hearing on this almost every case the judge will have a vocational witness the vocational witness is there to describe your past work and to answer questions about the by the judge about what you might be able to do both in terms of your past work and any other work and one of the concepts involved in talking about past for something called transferrable skills so it will help the judge understand what skills you have that might transfer to something else and what you have done it also gives the judge a sense of whether you have a good solid long work history or whether or not you've gone from job to job so it's worth spending a little bit of time on your work history I realize that Social Security Disability at its core is about your capacity to perform work so information about your past work and the things you did in that past past work are obviously very important to a Social Security decision-maker a judge or an adjudicator so again it's worth spending a little bit of time on this I would also tell you that the official book that Social Security uses to classify jobs in terms of their physical requirements as well as their cognitive requirements is a very outdated resources something called the dictionary of Occupational titles it's also called the d-o-t and this was last updated like twenty and thirty years ago I mean I think there's there's some there's some listings in the d-o-t that are back from the 1970s and so a lot of jobs that exist now are clearly not properly defined in the d-o-t so for example the d-o-t may define a particular job as being sedentary or sit down with a unskilled type of work background required whereas in 2015-2016 when you did it that job may have required you to lift 15 or 20 pounds or that job may have required a college education so it's really important to explain to the judge what you did the job requirements and how it worked in your particular case so that when the judge listens to your testimony he can make the necessary assumptions when talking to the to the vocational witness so for example if the vocational witness classified your job as some sedentary unskilled when in fact you did it it was a semi skilled and light the judge might