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:
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Subject
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When Required
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A. Disability of Child
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Always
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B. Selection of
representative payee
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If Childhood Disability Benefit (CDB) is not capable of handling his/her own benefits
(see GN 00502.030 and GN 00502.130).
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C. SSA-4-BK
(Application For Child’s Insurance Benefits)
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Always, in life cases.
Always in death cases
(See RS 00203.065 for exceptions)
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D. SSA-3368 (Disability Report - Adult)
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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.)
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SSA 820/821 (Work Activity Report – Self Employed Person/ Work Activity Report – Employee)
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If Work Activity Reported
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SSA 827 (Authorization to Release Medical Information to SSA)
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Always
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