Jump to content
Dibcase Community
Sign in to follow this  
Admin

What Social Security forms does Dibcase include?

Recommended Posts

Yes, Dibcase includes most forms you'll need to effectively manage your Social Security caseload.

  • SSA-501 Request for Hearing
  • SSA-521Request for Withdrawal of Application
  • SSA-539 Notice of Substitution of Party Upon Death of Claimant
  • SSA-561 Request for Reconsideration
  • SSA-773 Waiver of Right to Appear
  • SSA-789 Request for Reconsideration - Disability Cessation Right to Appear
  • SSA-795 Statement of Claimant
  • SSA-1693 Fee Agreement
  • Multiple customizable versions of free agreements
  • SSA-1695
  • SSA-1696 Appointment of Representative
  • SSA-827 Authorization to Disclose Information to Social Security
  • SSA-3288 Consent for Release of Information
  • Medical Opinion Forms (RFC forms)
  • HA-520 Request For Review Of Hearing Decision/Order
  • HA-1151 Medical Source Statement (Physical)
  • HA-1152 Medical Source Statement (Mental)
  • SSA-8011 Statement of Household Expenses and Contributions
  • SSA-8011 Loan Package

We also have additional PDF forms available on-demand including:

  • SSA-4814 Medical Report on Adult with Allegation of HIV Infection
  • SSA-7008 Request for Correction of Earnings Record
  • SSA-16 Application for Disability Insurance Benefits
  • SSA-632 Request for Waiver of Overpayment Recovery
  • SSA-820-BK Work Activity Report - Self-Employment
  • SSA-821-BK Work Activity Report - Employee
  • SSA-3368-BK Disability Report - Adult
  • SSA-3369-BK Work History Report
  • SSA-3373-BK Function Report - Adult
  • SSA-3441-BK Disability Report - Appeal
  • SSA-3820-BK Disability Report - Child
  • SSA-3881 Questionnaire For Children Claiming SSI Benefits
  • SSA-3885 Government Pension Questionnaire
  • SSA-4111 Certification of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits
  • SSA-4162 Child Dropout Questionnaire
  • SSA-4815 Medical Report on Child with Allegation of HIV Infection
  • SSA-5665-BK Teacher Questionnaire
  • SSA-5666 Request for Administrative Information
  • SSA-7050 Request for Social Security Earning Information
  • SSA-7104 Partnership Questionnaire
  • SSA-7156 Farm Self-Employment Questionnaire
  • SSA-8001 Appliction for Supplemental Security Income (SSI) (Deferred or Abbreviated)
  • SSA-8240 Authorization For Social Security Administration to Obtain Wage and Employment Information From Payroll Providers
  • SSA-8510 Authorization for the Social Security Administration to Obtain Personal Information
  • SSA-L4201 Request for Wage Information
     

In addition to SSA forms, we also provide form letters covering a variety of issues and circumstance including:

  • Client and contact letterheads
  • Claim status letters with merge-field data
  • Pre-Hearing briefs
  • Lead rejection letters
  • Notification of representation to SSA
  • Withdrawal letters
  • HIPAA & Hi-Tech releases

 

Share this post


Link to post
Share on other sites

Effective 12-2019, we not offer the ability to import PDF documents with merge capability!

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Sign in to follow this  

×
×
  • Create New...