Social Security Advocates America

Forms Assistance

Help With Important Social Security Forms

We assist with SSA-3369, SSA-820 and SSA-821, SSA-3373, SSA-454, and SSA-561. Each form below includes plain-language guidance and links to the official agency file.

SSA-3369-BK

SSA-3369

Work History Report

Describes the jobs you held in the years before you stopped working — what you actually did each day, how much you lifted and carried, how long you stood, walked, or sat, the tools you used, and whether you supervised anyone.

About 45 minutes to complete

Adults with a pending disability claim who worked in the relevant period.

Revision date: shown on the official agency file

SSA-820-BK

SSA-820

Work Activity Report (Self-Employed Person)

Reports work you did for your own business — the type of business, your ownership share, hours, income, expenses, duties, and any help or special arrangements you received.

About 35 minutes to complete

Claimants and beneficiaries who worked for their own business or farm.

Revision date: shown on the official agency file

SSA-821-BK

SSA-821

Work Activity Report

Reports work you did for an employer — dates, wages, hours, subsidies, special conditions, work expenses related to your condition, sick or vacation pay, and unsuccessful work attempts.

About 35 minutes to complete

Claimants and beneficiaries who worked for an employer.

Revision date: shown on the official agency file

SSA-3373-BK

SSA-3373

Function Report - Adult

Describes an ordinary day — personal care, meals, chores, transportation, shopping, money, hobbies, social activity, physical abilities, concentration, instructions, stress, devices, medicines, and side effects.

About 40 minutes to complete

Adults with a pending disability claim or continuing review.

Revision date: shown on the official agency file

SSA-454-BK

SSA-454

Continuing Disability Review Report

Updates your file when the agency reviews whether benefits should continue — conditions, treatment, doctors, medicines, tests, hospital stays, schooling, work, rehabilitation, and changes in daily functioning.

About 50 minutes to complete

People already receiving benefits who were selected for a continuing review.

Revision date: shown on the official agency file

SSA-561-U2

SSA-561

Request for Reconsideration

Formally asks the agency to look at a decision again. You identify the decision, explain why you disagree, name your representative if applicable, and list supporting documents.

About 15 minutes to complete

Anyone appealing a decision at the first level of appeal.

Revision date: shown on the official agency file

Always the official file. Download buttons link directly to the Social Security Administration, so you receive the current agency release.

Nothing you download is tracked to a claim. Downloading a blank form does not start, change, or file anything with the agency.

Completed forms are never public. Secure online completion will remain in the client portal and will not be enabled on the public site until the portal is fully tested.

Paperwork Is Where Claims Are Lost

Let Us Walk You Through The Hard Ones

The Work History Report and Adult Function Report can materially affect how a claim is understood. Bring yours to us before you send it.