No standard form number · SSA
Impairment-Related Work Expenses documentation. Receipts and records of disability-related expenses needed to work (assistive devices, medications, transportation). Deducted from earnings for SGA determination.
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Submit to your local SSA office
https://secure.ssa.gov/ICON/main.jspReport impairment-related work expenses to SSA.
In person at local SSA office
https://secure.ssa.gov/ICON/main.jsp2-4 weeks for SSA to process the IRWE deduction.
SSA will deduct approved IRWEs from your earned income when calculating Substantial Gainful Activity (SGA). This can keep you eligible for SSDI even if your gross earnings exceed the SGA limit.
SSA-16-BK · SSA
Application for Social Security Disability Insurance Benefits. Requires detailed work history, earnings record, and medical condition documentation.
SSA-8000-BK · SSA
Application for Supplemental Security Income for aged, blind, and disabled individuals with limited income and resources. Must be completed via SSA interview.
SSA-3368-BK · SSA
The most complex patient-facing disability form. 15 pages requiring complete medical history, all diagnoses, medications, treating providers, hospitalizations, and work history.
SSA-3369-BK · SSA
10-page report requiring detailed descriptions of all jobs held in the past 15 years including physical demands, tools used, supervision, and lifting requirements.
SSA-3373-BK · SSA
10-page functional assessment covering ADL capacity, daily routines, social functioning, cognitive abilities, and physical limitations.
SSA-827 · SSA
Authorization allowing SSA to collect medical and other information from providers, hospitals, and other sources for disability determination.
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