Allison Tyler - Social Security Law Office




		Please Note: All documents below are stored in Portable Document Format (.PDF) and require Acrobat Reader 5.0 or greater to view click on this icon to download Acrobat Reader 5.0	.
.	PRE-APPLICATION Workers Compensation/Public Disability Questionnaire SSA-546 Print and fill out by hand (67 kb) SSA-546 Fill out online, then print (159 kb) Disability Report-Adult SSA-3368 Print and fill out by hand (125 kb) SSA-3368 Fill out online, then print (426 kb) Work History Report SSA-3369 Print and fill out by hand (80 kb) SSA-3369 Fill out online, then print (385 kb) HEARING REQUEST Claimant's Statement when 'Request for Hearing' is filed and issue is Disabilit HA-4486 Print and fill out by hand (101 kb) HA-4486 Fill out online, then print (157 kb) HEARING PREPARATION Recent Medical Treatmen HA-4631 Print and fill out by hand (243 kb) HA-4631 Fill out online, then print (259 kb) Medication List HA-4632 Print and fill out by hand (46 kb) HA-4632 Fill out online, then print (65 kb) Recent Work History HA-4633 Print and fill out by hand (216kb) HA-4633 Fill out online, then print (231 kb)









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