Training Documents

Adult SSA Forms

11 Rep Payee Request
16 RSDI Application.Signature
795 Statement of Claimant or Other Person.Signature
827 Auth to Disclose PHI to SSA.Signature
1199A Direct Deposit Sign Up Form
1696 Appointing Representative.Signature
3288 Consent for Release of PHI.Signature
3368 Disability Report
3369 Work History Report
3373 Function Report
3380 Function Report Third Party
4164 Rep Payee.Signature
8001 Title 16 SSI Application.Signature
SSA 11 Rep Payee Request
SSA 16 SSDI Application
SSA 795 Statement of Claimant or Other Person
SSA 827 Authorization to Disclose Info to SSA
SSA 1199A Direct Deposit Form
SSA 1696 Appointing Representative
SSA 3288 Consent for Release of Information
SSA 3368 Disability Report Adult
SSA 3369 Work History Report
SSA 3373 Fuction Report Adult
SSA 3380 Function Report Third Party
SSA 4164 Rep Payee Advance Notification
SSA 8001 SSI Application

Child SSA Forms

16 RSDI Application.Signature
795 Statement of Claimant or Other Person.Signature
827 Auth to Disclose PHI to SSA.Signature
1696 Appointing Representative.Signature
3288 Consent for Release of PHI.Signature
3375 Function Report.Child.Birth-1
3376 Function Report.Child.1-3
3377 Function Report.Child.3-6
3378 Function Report.Child.6-12
3379 Function Report.Child.12-18
3380 Function Report Third Party
3819 Medical and School Worksheet-CHILD
3820 Disability Report Child
3881 Questionnaire for Children Claiming SSI
4164 Rep Payee.Signature
8001 Title 16 SSI Application.Signature
SSA 16 SSDI Application
SSA 795 Statement of Claimant or Other Person
SSA 827 Authorization to Disclose Info to SSA
SSA 1696 Appointing Representative
SSA 3288 Consent for Release of Information
SSA 3375 Function Report 0-1
SSA 3376 Function Report 1-3
SSA 3377 Function Report 3-6
SSA 3378 Function Report Child 6-12
SSA 3379 Function Report Child 12-18
SSA 3380 Function Report Third Party
SSA 3819 Medical and School Worksheet Child
SSA 3820 Disability Report Child
SSA 3881 Questionnaire for Children
SSA 8001 SSI Application

Other Training Documents

1746-A Blank
1746-A Narrative
2024 Income Limits for SNAP
2023 Medicare Savings Programs
Day 1
Day 2
Day 3 A
Day 3 B
Example Letter SS Application Appt Scheduled
Example Letter SSA Application Submission
Fax Cover Sheet SSA 3rd Party Application
H1200_May2018
how-to-apply-for-ssi-ssa-3368
how-to-apply-for-ssi-ssa-3373
how-to-apply-for-ssi-ssa-3380
how-to-apply-for-ssi-ssa-3820
how-to-apply-for-ssi-ssa-4814
how-to-apply-for-ssi-ssa-4815
how-to-apply-for-ssi-ssa-8000
how-to-apply-for-ssi-ssa-8001
Items Needed.Medicaid Appl
Items Needed.SNAP Appl
Items Needed.SSA Appl
SSA Fact Sheet 2024
The Red Book 2020
The Red Book Whats New in 2024