The Teacher Questionnaire (TQ; SSA-5665-BK) and Request for Administrative Information
(RAI; SSA-5666), originally designed to capture information about children claiming
supplemental security income (SSI) under title XVI, are also useful for documenting
the functioning of older individuals under both titles II and XVI when such individuals
are, or have been, involved in an education or training program. When an individual
age 18 or older (or an adolescent seeking disability for title II “child-in-care”
purposes) is, or has recently been, in an education, vocational counseling, or training
program, information provided in a TQ can be relevant to any assessment of his or
her functioning under our rules, including determining whether:
The individual has a severe impairment or combination of impairments;
The individual’s impairment(s) meets or medically equals a listing that includes functional
criteria, particularly the mental disorders listings;
The individual has the ability to perform past or other work.
The policy and related procedures for the three forms required for developing evidence
from the education community – the Authorization To Release Information to the Social
Security Administration (SSA-827), the TQ, and the RAI – are in DI 25205.030.