LexisNexis® Automated Forms
$310.00 LexisNexis® Automated Social Security Forms
SOCIAL SECURITY FORMS A subscription to the Social Security Forms package provides a complete solution for preparing social security disability-related forms. It includes all relevant Social Security Administration Forms as well as forms from NOSSCRs Social Security Practice Guide, published by Matthew Bender®
The Social Security Forms package is comprehensive, intuitive, reliable, and easy to use. Since the forms are fully automated with HotDocs® document assembly software, all you have to do is enter case or client-specific information once, and it will be automatically inserted throughout the form where that information is relevant. Special intake sheets have been designed to speed form completion. This means youll be printing out signature-ready documents in minutes. Eliminate repetitive typing, cutting and pasting, and the increased chance of error that goes along with traditional methods of document preparation. You can also save the information youve entered after completing a form and use it to instantly complete related forms. Free Training included.
To purchase this entire package,
click on the " Purchase Package " button above. To ensure that you are always using the latest versions of the forms,
any forms downloaded onto your computer will expire after 48 hours,
but you may return to LexisOne at any time to download them again.
Forms that you have already filled out and saved as separate documents will not expire.
For questions about the two-day expiration policy, please call 1-877-507-6063, option 2.
To purchase an individual form , click on the "Purchase Individually " button at the top
of the section containing the desired form. To ensure that you are always using the latest versions
of the forms, any forms downloaded onto your computer will expire after 48 hours.
To fill them out after that period, you will need to repurchase the form.
Forms that you have already filled out and saved as separate documents will not expire.
For questions about the two-day expiration policy, please call 1-877-507-6063, option 2.
You will need to log-in to purchase any of these forms
Daily Activities Questionnaire
Daily Activities Questionnaire (Third Party Information)
Exertional Daily Activities Questionnaire
New Case Information Form
Pain Questionnaire
Pain Questionnaire (Tennessee Disability Determination Section version)
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Identifying Information for Possible Direct Payment of Authorized Fees (SSA-1695)
Petition to Obtain Approval of a Fee for Representing a Claimant Before the SSA (SSA-1560-U4)
Request for Appointed Representative's Direct Payment Information (SSA-1699)
Request for Business Entity Taxpayer Information (SSA-1694)
Sample Memorandum in Support of Motion for Attorney's Fees
Sample Written Fee Agreement (For Use in the Fee Agreement Process)
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Appointment of Representative (SSA-1696-U6)
Sample Disability Interview Guide
Sample Instruction Sheet for New Clients
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Disability Report--Appeal (SSA-3441-BK)
Medical Source Statement of Ability to Do Work-Related Activities (Physical) (HA-1151-BK)
Request for Review of Hearing Decision/Order (HA-520-U5)
Teacher Questionnaire (SSA-5665-BK)
Work Activity Report (Self-Employed Person) (SSA-820-F4)
Application for Disability Insurance Benefits (SSA-16-F6)
Authorization for Source to Release Information to the SSA (SSA-827)
Consent for Release of Information (SSA-3288)
Disability Report-Adult (SSA-3368-BK)
Disability Report-Child (SSA-3820-BK)
Medical Report on Adult with Allegation of HIV Infection (SSA-4814-F5)
Medical Report on Child with Allegation of HIV Infection (SSA-4815-F6)
Request for Hearing by Administrative Law Judge (HA-501-U5)
Request for Reconsideration (SSA-561-U2)
Residual Physical Functional Capacity Assessment (SSA-4734-U8)
Mental Residual Functional Capacity Assessment (SSA-4734-F4-SUP)
Sample Claimant/Physician Functional Capacity Report for HIV Condition
Statement of Claimant or Other Person (SSA-795)
Work History Report (SSA-3369-BK)
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Application for Retirement Insurance Benefits (SSA-1-BK)
Request for Social Security Earnings Information (SSA-7050-F4)
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Application for Wife's or Husband's Insurance Benefits (SSA-2-BK)
Certificate of Support (SSA-760-F4)
Statement Regarding Marriage (SSA-753)
Statement of Marital Relationship (SSA-754-F4)
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ALJ Bench Decision - Fully Favorable
Report of Continuing Disability Interview (SSA-454-BK)
Claimant's Medications (HA-4632)
Claimant's Medications (revised version without form number or date) (Revised version without form number or date.)
Claimant's Recent Medical Treatment (revised version without form number or date)
Claimant's Work Background (HA-4633)
Request for Withdrawal of Application (SSA-521)
Sample Brief to the Appeals Council on Procedural Errors of ALJ
Sample Hearing Questionnaire
Sample Hearing Summary
Sample Letter to Client After Receiving a Favorable Social Security Decision
Sample Pre-Hearing Letter to ALJ
Sample Pre-Hearing Summary for Advocate at Hearing
Statement by the Representative
Waiver of Written Notice of Hearing (HA-510)
Waiver of Your Right to Personal Appearance Before an Administrative Law Judge (HA-4608)
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Sample Complaint for Judicial Review
Sample Issues with Discussion for Inclusion in Complaint
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Employer Report of Special Wage Payments (SSA-131)
Psychiatric Review Technique (SSA-2506-BK)
Sample Checklist of Medical Impairment To Be Completed by Treating Physician
Sample Employer's Assessment of the Functional Requirements of Claimant's Post Relevant Work
Sample General Interrogatories to Physician
Sample Letter to Employer for Obtaining Evidence Relating to Claimant's Employment
Sample Objection to Consultative Evaluation Report for Failure to Perform Tests Under Listing
Sample Physician's Physical Capacities Evaluation, Quick Form
Sample Questions to Physician Formerly Used by the Administration to Gauge Work Capacity
Sample Report of Physician Setting Out Diagnosis, History, Treatment, Functional Limitation
Self-Employment/Corporate Office Questionnaire (SSA-4184)
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Claim for Amounts Due in the Case of a Deceased Beneficiary (SSA-1724)
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Call-Out Operator - 237.367-014
Cashier II - 211.462-010
Charge-Account Clerk - 205.367-014
Order Clerk - 249.362-026
Order Clerk, Food and Beverage - 209.567-014
Parking-Lot Attendant - 915.473-010
Photocopying-Machine Operator - 207.685-014
Storage-Facility Rental Clerk - 295.367-026
Surveillance-System Monitor - 379.367-010
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Application to Proceed without Prepayment of Fees and Affidavit (AO 240)
Request for Waiver of Overpayment Recovery or Change in Repayment Rate (SSA-632-BK)
Sample Overpayment Questionnaire
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Sample Brief of Claimant's Request for Reconsideration of Deadline Extension
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Request to Be Selected as Payee (SSA-11-BK)
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Application for Supplemental Security Income (SSA-8000-BK)
Application for Supplemental Security Income (SSA-8001-BK)
Authorization for SSA to Obtain Account Records from Financial Institutions (SSA-4641-U2)
Claimant's Statement About Loan of Food or Shelter (SSA-5062)
Function Report - Adult (SSA-3373-BK)
Function Report - Adult - Third Party (SSA-3380-BK)
Living Arrangement/In-Kind Support and Maintenance Development Guide (SSA-8008)
Notice to Representative of Claimant Before the SSA (SSA-L1697-U3)
Request for Reconsideration--Disability Cessation (SSA-789-U4)
Sample Background Questionnaire for Determining Eligibility for Supp. Security Income
Statement for Determining Continuing Eligibility for Supp. Security Income Payments (SSA-8203-BK)
Statement of Income and Resources (SSA-8010-BK)
Statement of Living Arrangements, In-Kind Support and Maintenance (SSA-8006-F4)
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Childhood Disability Evaluation Form (SSA-538-F6)
Function Report-Child-Birth to 1st Birthday (SSA-3375-BK)
Function Report-Child-Age 1 to 3rd Birthday (SSA-3376-BK)
Function Report-Child-Age 3 to 6th Birthday (SSA-3377-BK)
Function Report-Child-Age 6 to 12th Birthday (SSA-3378-BK)
Function Report-Child-Age 12 to 18th Birthday (SSA-3379-BK)
Pain Report-Child (SSA-3371-BK)
Sample Questionnaires Seeking Functional Information About Childhood Disabilities
Sample School Activities Questionnaire
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Claim for Amounts Due in the Case of a Deceased Beneficiary (SSA-1724)
Notice Regarding Substitution of Party Upon Death of Claimant (HA-539)
Reporting Changes That Affect Your Social Security Payment (SSA-1425)
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Offset Worksheet--Disability Insurance Benefits (SSA-2455)
Request for Workers' Compensation/Public Disability Benefits Information (SSA-1709)
Sample Disbursal Sheet
Sample Social Security Disability Offset Worksheet
Statement Regarding Inferred Death--Continued and Unexplained Absence (SSA-723-F4)
Workers' Compensation/Public Disability Benefit Questionnaire (SSA-546)
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