BASIC (01-07)

DI 10115.045 Summary of Evidence and Forms Required for Reentitlement Based on a Disability Which Began After Age 18

Use the following forms when reentitlement is based on a disability which began after age 18:

  Subject

When Required

A. Disability of Child

Always

B. Selection of
representative payee

If Childhood Disability Benefit (CDB) is not capable of handling his/her own benefits (see GN 00502.030 and GN 00502.130).

C. SSA-4-BK
(Application For Child’s Insurance Benefits)

Always, in life cases.

Always in death cases

(See RS 00203.065 for exceptions)

D. SSA-3368 (Disability Report - Adult)

Always. (An exception applies if a concurrent Title II Disability Benefit (DIB) or Title XVI adult disability/blindness claim is being filed for a child. See DI 11005.037 and DI 11015.025.)

SSA 820/821 (Work Activity Report – Self Employed Person/ Work Activity Report – Employee)

If Work Activity Reported

SSA 827 (Authorization to Release Medical Information to SSA)

Always


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0410115045
DI 10115.045 - Summary of Evidence and Forms Required for Reentitlement Based on a Disability Which Began After Age 18 - 01/18/2007
Batch run: 01/27/2009
Rev:01/18/2007