Since the medical determination for child cases uses different criteria, additional
forms are required to complete the CDR. Completion of the following forms is mandatory
for a Title XVI Childhood Disability eCDR:
SSA-454 Continuing Disability Review Report (Completion of Form SSA-454-BK in Title
XVI Child Cases - DI 13005.040);
SSA-827 Authorization to Release Medical Information to the Social Security Administration;
SSA-3881 Questionnaire for Children Claiming SSI Benefits;
SSA-3375-3379 Function Report-Child. Select the appropriate Function Report based
on the age of the child.
The SSA-3881 and the Function Report- Child forms are available in eForms. They can
be completed and saved electronically in eForms. The forms also can be printed, completed,
and faxed to the Electronic Folder (EF) following procedures outlined in Storing Non-Medical
Evidence in the Certified Electronic Folder (CEF) - DI 81010.135.
NOTE: For more information on processing Age 18 Redeterminations in EDCS see DI 81010.232, Creating a Record for an Age 18 Disability Redetermination in the Electronic Disability
Collect System (EDCS).