Form to appoint an attorney or representative:

Appointment of Representative Form:


Forms to file an Initial Application for SSDI or SSI benefits:

Application for Social Security Disability Insurance Benefits (Initial Application for SSDI):

Application for Supplemental Security Income Benefits (Initial Application for SSI):

Adult Disability Report (Disability Report for SSDI and SSI):

Authorization to Disclose Information To The Social Security Administration (Medical Release Form/HIPPA Release):


Forms to file an appeal of a denial of your SSDI or SSI claim:

Request for Hearing:

Request for Reconsideration:

Disability Report-Appeal Form (Reconsideration Appeal and Hearing Appeal Form):


Additional forms often requested by SSA to process your claim:

Application for Child’s Insurance Benefits:

Child’s Disability Report:

Claimant’s Medications:

Claimant’s Recent Medical Treatment:

Claimant’s Work Background:

Function Report:

Request for Social Security Earnings Information:

Work Activity Report:

Workers’ Compensation/Public Disability Benefit Questionnaire:

Work History Report: