Social Security Disability Application Report
/ What is this form?
Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) are the two federal programs providing income to people unable to work due to a disability expected to last at least 12 months or result in death. Form SSA-3368, Disability Report — Adult, is the comprehensive functional questionnaire that documents all medical conditions, treatment history, and the practical impact of the disability on the claimant's ability to work.
The SSA uses a 5-step sequential evaluation process to determine disability: (1) Whether the claimant is engaging in substantial gainful activity ($1,620/month in 2025), (2) Whether the impairment is severe, (3) Whether the impairment meets or medically equals a listed impairment in the Blue Book, (4) Whether the claimant can perform past relevant work, and (5) Whether the claimant can perform any other work in the national economy given age, education, and work experience.
Approximately 1.9 million disability applications are filed annually. The initial denial rate is approximately 65%, making the appeal process critically important. The SSA-3368 is the foundation of the case — a thorough, detailed, and honest report significantly improves outcomes at all levels of the process.
/ Who needs this form?
/ What you need before you start
/ Step-by-step guide
/ Key fields explained
| Field | What to enter | Common mistake |
|---|---|---|
| Medical Conditions / Illnesses | List every condition affecting your ability to work. Include: physical conditions (back injury, heart disease, diabetes), mental health (depression, PTSD, anxiety), and substance-related disorders if in recovery and still affecting function. | Listing only the primary diagnosis and omitting secondary conditions — SSA evaluates the combined effect of all impairments. A person with chronic back pain + depression + diabetes may qualify based on the combination even if no single condition meets the listing criteria. |
| How Conditions Limit Activities | Describe specifically: how far you can walk before stopping, how long you can sit/stand continuously, what weight you can lift, whether you can concentrate on tasks for 2-hour blocks, whether you can maintain regular attendance. | Using subjective terms like 'a little' or 'sometimes' — be specific and quantitative: 'I can walk approximately 50 feet before severe pain requires me to stop and rest for 15 minutes.' |
| Recent Work History | List all jobs in the past 15 years — the SSA uses this to evaluate whether you can return to past relevant work (Step 4 of evaluation). For each job: title, industry, dates, hours per week, highest pay, physical demands. | Omitting part-time or short-term jobs — SSA evaluates all past relevant work, not just full-time employment. |
| Doctors and Hospitals | Complete contact information for every provider: name, practice name, full address, phone number, patient/chart number, and dates and reasons for treatment. | Providing incomplete addresses or phone numbers — SSA cannot request records from providers it cannot contact. Missing information causes months of delays. |
/ Common mistakes to avoid
/ Frequently asked questions
SSDI is based on your Social Security earnings record — the average benefit is approximately $1,537/month (2025). There is a 5-month waiting period before benefits begin from the established onset date of disability. Benefits start on the 6th month.
SSDI (Social Security Disability Insurance) requires a work history and payment of Social Security taxes. SSI (Supplemental Security Income) is need-based — no work history required, but there are strict income and asset limits ($2,000 for individuals). You can receive both simultaneously if you qualify.
No. SSA sends requests to the providers you list on the SSA-3368, but there can be delays if information is incomplete. Proactively gather and submit your own medical records to avoid waiting for SSA's records request process.
You can work, but your monthly earnings must be below Substantial Gainful Activity (SGA) — $1,620/month in 2025, $2,700 for blind individuals. Working above SGA is an automatic disqualifier. Part-time work below SGA may actually help demonstrate you are trying to work despite limitations.