The information that you give us on this report tells us where to request your medical and other records. Disability Report- Adult-Form SSA-3368-BK.
Who can apply for adult disability benefits online? . Benefits and have an “ Application Number;” or; An “Adult Disability Report” and have a “Reentry Number.”.
Form SSA-3368 is the basic form used for adults who are claiming disability benefits. You can fill the form out yourself or have a representative such as a Social.
While applying for Social Security disability, you may need to fill out an Adult Disability Report, giving information on your past and condition.
DISABILITY REPORT - ADULT - Form SSA-3368-BK. If you need help with this form, do as much of it as you can, and your interviewer will help you finish it.